| 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 |
5,870 |
4,897 |
$332K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,490 |
3,676 |
$168K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,802 |
1,379 |
$98K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,095 |
951 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,230 |
945 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,179 |
2,614 |
$46K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,471 |
1,055 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,735 |
1,242 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,283 |
977 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
2,122 |
1,655 |
$28K |
| A7037 |
Tubing used with positive airway pressure device |
2,137 |
1,682 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,875 |
3,565 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
408 |
268 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,235 |
916 |
$8K |
| 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) |
112 |
100 |
$6K |
| E0570 |
Nebulizer, with compressor |
373 |
234 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
787 |
607 |
$3K |
| K0001 |
Standard wheelchair |
176 |
139 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
21 |
$198.74 |
| A7015 |
Aerosol mask, used with dme nebulizer |
24 |
17 |
$184.82 |