| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
9,348 |
9,293 |
$495K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,357 |
4,335 |
$411K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
555 |
554 |
$346K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,287 |
2,268 |
$97K |
| 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) |
904 |
900 |
$94K |
| E0570 |
Nebulizer, with compressor |
2,382 |
2,378 |
$84K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,802 |
6,770 |
$81K |
| A7030 |
Full face mask used with positive airway pressure device, each |
856 |
850 |
$56K |
| A7035 |
Headgear used with positive airway pressure device |
2,879 |
2,854 |
$53K |
| A7037 |
Tubing used with positive airway pressure device |
2,238 |
2,235 |
$51K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,313 |
2,311 |
$40K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,851 |
4,809 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
677 |
670 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
838 |
831 |
$21K |
| E0561 |
Humidifier, non-heated, used with positive airway pressure device |
1,997 |
1,993 |
$15K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
689 |
682 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,453 |
1,444 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
511 |
511 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
856 |
843 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
51 |
51 |
$2K |
| K0003 |
Lightweight wheelchair |
58 |
56 |
$2K |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$595.02 |
| K0001 |
Standard wheelchair |
12 |
12 |
$322.06 |
| A7015 |
Aerosol mask, used with dme nebulizer |
41 |
41 |
$44.87 |