| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,099 |
5,847 |
$117K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,506 |
2,180 |
$115K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,676 |
3,301 |
$85K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,516 |
2,747 |
$75K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,038 |
1,884 |
$73K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,531 |
2,136 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,589 |
5,802 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
2,844 |
2,539 |
$31K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,461 |
1,121 |
$27K |
| 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) |
648 |
515 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,691 |
1,543 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,965 |
1,490 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,768 |
4,261 |
$8K |
| E0570 |
Nebulizer, with compressor |
733 |
693 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
231 |
180 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
955 |
837 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
286 |
260 |
$2K |
| K0001 |
Standard wheelchair |
43 |
28 |
$147.00 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
13 |
$130.89 |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$82.12 |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
13 |
12 |
$15.09 |