| 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 |
10,596 |
9,977 |
$1.06M |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,798 |
5,498 |
$330K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,363 |
2,212 |
$229K |
| E0570 |
Nebulizer, with compressor |
3,716 |
3,531 |
$178K |
| 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) |
1,044 |
957 |
$160K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,800 |
2,602 |
$159K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,283 |
5,979 |
$111K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,517 |
1,436 |
$80K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,267 |
1,220 |
$63K |
| A7035 |
Headgear used with positive airway pressure device |
2,810 |
2,650 |
$60K |
| 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 |
1,678 |
1,618 |
$55K |
| K0001 |
Standard wheelchair |
1,984 |
1,896 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,714 |
2,561 |
$40K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,022 |
993 |
$39K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,855 |
1,718 |
$38K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
265 |
261 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,884 |
3,683 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
1,393 |
1,270 |
$29K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
794 |
757 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
386 |
369 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,011 |
982 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
208 |
204 |
$10K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
253 |
239 |
$8K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
58 |
58 |
$7K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
27 |
27 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
48 |
46 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
84 |
76 |
$707.36 |
| A7015 |
Aerosol mask, used with dme nebulizer |
293 |
281 |
$450.56 |