| 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 |
5,351 |
4,928 |
$245K |
| E0570 |
Nebulizer, with compressor |
4,208 |
3,701 |
$146K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,569 |
3,289 |
$99K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,747 |
1,615 |
$85K |
| 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) |
792 |
746 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,846 |
3,571 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,472 |
2,280 |
$35K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,210 |
1,078 |
$23K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,643 |
1,445 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,739 |
1,592 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,717 |
2,350 |
$11K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
431 |
364 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
201 |
184 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
286 |
261 |
$7K |
| K0001 |
Standard wheelchair |
459 |
423 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
828 |
778 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
286 |
275 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,109 |
1,804 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,993 |
1,700 |
$822.01 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
23 |
17 |
$592.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
406 |
309 |
$498.38 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
30 |
24 |
$393.46 |