| 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 |
8,464 |
7,977 |
$374K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,395 |
3,243 |
$187K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,739 |
2,593 |
$178K |
| 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 |
6,195 |
5,838 |
$130K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,633 |
3,482 |
$73K |
| E0570 |
Nebulizer, with compressor |
3,892 |
3,703 |
$68K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,746 |
2,617 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,019 |
961 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
3,631 |
3,441 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
2,489 |
2,365 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,255 |
4,979 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
776 |
731 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,425 |
1,353 |
$15K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
804 |
730 |
$14K |
| 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) |
64 |
62 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
215 |
201 |
$5K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
170 |
164 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
69 |
68 |
$2K |
| A4554 |
Disposable underpads, all sizes |
42 |
38 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
726 |
704 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
50 |
50 |
$972.55 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
26 |
25 |
$899.94 |
| K0001 |
Standard wheelchair |
12 |
12 |
$240.64 |