| 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 |
8,568 |
6,596 |
$480K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,172 |
3,410 |
$160K |
| E0570 |
Nebulizer, with compressor |
1,710 |
1,378 |
$151K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,414 |
1,136 |
$106K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,470 |
1,173 |
$50K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,270 |
3,348 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,549 |
1,294 |
$41K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,103 |
1,716 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
880 |
717 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
991 |
785 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
731 |
526 |
$13K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
682 |
364 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,389 |
1,936 |
$10K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
200 |
78 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
228 |
178 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
642 |
506 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
752 |
629 |
$804.22 |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
23 |
14 |
$338.25 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
29 |
25 |
$133.68 |