| 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 |
16,608 |
14,110 |
$413K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,900 |
1,679 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,182 |
2,830 |
$52K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,424 |
7,096 |
$47K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,621 |
1,471 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,936 |
1,727 |
$11K |
| E0570 |
Nebulizer, with compressor |
2,998 |
2,773 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
2,059 |
1,835 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,613 |
4,125 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
916 |
834 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,273 |
1,132 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
224 |
202 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
876 |
769 |
$4K |
| K0001 |
Standard wheelchair |
361 |
321 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
257 |
236 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
39 |
36 |
$611.74 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,199 |
1,078 |
$462.22 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$232.87 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
30 |
28 |
$4.22 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
13 |
$3.94 |