| 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 |
4,361 |
4,135 |
$170K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,345 |
2,218 |
$89K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,247 |
2,135 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,968 |
2,819 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
851 |
826 |
$23K |
| E0570 |
Nebulizer, with compressor |
803 |
726 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
930 |
909 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
564 |
551 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,752 |
1,702 |
$6K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
237 |
227 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
134 |
129 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
39 |
37 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
45 |
42 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
87 |
85 |
$1K |
| K0001 |
Standard wheelchair |
53 |
40 |
$575.86 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
65 |
64 |
$421.02 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
13 |
$148.08 |
| A7015 |
Aerosol mask, used with dme nebulizer |
136 |
129 |
$141.11 |