| 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 |
6,356 |
4,877 |
$351K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,518 |
3,521 |
$157K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,588 |
1,102 |
$80K |
| E0570 |
Nebulizer, with compressor |
2,806 |
2,141 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,906 |
3,871 |
$63K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,435 |
1,008 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
338 |
253 |
$37K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,217 |
1,469 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
653 |
452 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,580 |
1,092 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,954 |
2,048 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
221 |
157 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,087 |
740 |
$5K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
83 |
83 |
$2K |
| K0001 |
Standard wheelchair |
133 |
110 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
68 |
59 |
$1K |
| 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) |
25 |
24 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
47 |
42 |
$775.87 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
48 |
40 |
$756.98 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
32 |
24 |
$701.62 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
157 |
148 |
$443.02 |
| E1392 |
Portable oxygen concentrator, rental |
47 |
41 |
$314.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
75 |
69 |
$100.32 |