| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
11,102 |
9,131 |
$265K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
8,685 |
7,038 |
$260K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
11,105 |
9,336 |
$76K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,491 |
1,920 |
$69K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,811 |
2,978 |
$42K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
533 |
356 |
$40K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
914 |
686 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,277 |
2,759 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
1,573 |
1,366 |
$25K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
982 |
834 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,500 |
1,914 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,874 |
1,392 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
3,161 |
2,549 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
205 |
154 |
$4K |
| A4554 |
Disposable underpads, all sizes |
37 |
27 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
999 |
856 |
$2K |
| E0570 |
Nebulizer, with compressor |
451 |
348 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
130 |
113 |
$1K |
| K0001 |
Standard wheelchair |
78 |
67 |
$550.96 |
| A4927 |
Gloves, non-sterile, per 100 |
75 |
65 |
$448.76 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
139 |
117 |
$379.93 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
32 |
26 |
$374.81 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
31 |
13 |
$118.09 |