| 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 |
3,158 |
2,553 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,414 |
1,194 |
$45K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,540 |
1,286 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,220 |
995 |
$12K |
| E0570 |
Nebulizer, with compressor |
294 |
229 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
162 |
149 |
$6K |
| 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) |
63 |
50 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
201 |
152 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
224 |
198 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
74 |
72 |
$2K |
| 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 |
157 |
118 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
33 |
24 |
$2K |
| K0001 |
Standard wheelchair |
84 |
70 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
55 |
44 |
$860.39 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
24 |
$854.85 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
425 |
345 |
$835.17 |
| A7037 |
Tubing used with positive airway pressure device |
76 |
66 |
$435.07 |
| A7030 |
Full face mask used with positive airway pressure device, each |
17 |
12 |
$238.04 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$67.03 |