| 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 |
10,031 |
9,929 |
$1.07M |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,104 |
2,096 |
$127K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,857 |
5,713 |
$114K |
| E0570 |
Nebulizer, with compressor |
4,971 |
4,931 |
$81K |
| A7030 |
Full face mask used with positive airway pressure device, each |
524 |
521 |
$57K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
835 |
823 |
$49K |
| A7031 |
Face mask interface, replacement for full face mask, each |
778 |
774 |
$42K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
325 |
325 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
535 |
531 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,986 |
2,943 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
585 |
578 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
833 |
819 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
783 |
774 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
255 |
253 |
$10K |
| K0001 |
Standard wheelchair |
381 |
379 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
402 |
402 |
$8K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
990 |
902 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
448 |
444 |
$5K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
24 |
24 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
26 |
26 |
$1K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
569 |
561 |
$688.92 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$446.85 |
| A7015 |
Aerosol mask, used with dme nebulizer |
222 |
221 |
$333.05 |
| A4927 |
Gloves, non-sterile, per 100 |
14 |
13 |
$105.56 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$85.52 |