| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,611 |
1,571 |
$93K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,066 |
1,004 |
$82K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,525 |
1,492 |
$31K |
| E0570 |
Nebulizer, with compressor |
754 |
708 |
$29K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
481 |
471 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
153 |
144 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
522 |
502 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
677 |
641 |
$10K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
79 |
73 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
90 |
87 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
810 |
783 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
103 |
91 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
140 |
138 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
128 |
124 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
104 |
99 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
38 |
37 |
$985.89 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$249.68 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$15.81 |