| 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 |
25,391 |
22,029 |
$730K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,621 |
3,260 |
$137K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,094 |
5,528 |
$122K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,150 |
4,607 |
$103K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,359 |
11,515 |
$90K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,325 |
2,150 |
$49K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,141 |
1,973 |
$46K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,792 |
5,167 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
5,184 |
4,752 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
3,626 |
3,275 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,970 |
10,092 |
$25K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,484 |
1,382 |
$24K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,803 |
2,564 |
$15K |
| E0570 |
Nebulizer, with compressor |
3,266 |
2,811 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
420 |
389 |
$9K |
| K0001 |
Standard wheelchair |
916 |
768 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
1,245 |
1,138 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
183 |
172 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,347 |
1,162 |
$901.22 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
326 |
307 |
$840.36 |
| 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) |
12 |
12 |
$647.46 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
12 |
$6.04 |