| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
18,113 |
17,053 |
$456K |
| E0570 |
Nebulizer, with compressor |
4,041 |
3,757 |
$89K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,736 |
1,592 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,961 |
3,646 |
$61K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,684 |
2,501 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,007 |
9,400 |
$53K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,335 |
1,255 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,274 |
2,041 |
$23K |
| K0001 |
Standard wheelchair |
3,192 |
2,879 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,190 |
1,049 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
2,571 |
2,370 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
2,315 |
2,119 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,925 |
1,798 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,186 |
5,677 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
291 |
273 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,092 |
2,842 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
324 |
301 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,606 |
1,485 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,892 |
1,756 |
$611.71 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
161 |
147 |
$442.13 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
68 |
66 |
$259.62 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
27 |
24 |
$249.64 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
69 |
67 |
$33.47 |