| 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 |
7,841 |
7,373 |
$393K |
| E0570 |
Nebulizer, with compressor |
2,240 |
2,108 |
$89K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,433 |
5,153 |
$56K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
492 |
260 |
$23K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
509 |
482 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
146 |
135 |
$6K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
30 |
26 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
656 |
613 |
$2K |
| K0001 |
Standard wheelchair |
248 |
237 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
54 |
49 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
949 |
897 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
200 |
198 |
$952.19 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
208 |
203 |
$612.83 |
| A7030 |
Full face mask used with positive airway pressure device, each |
24 |
24 |
$357.22 |
| A7035 |
Headgear used with positive airway pressure device |
59 |
58 |
$283.14 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$231.54 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$159.21 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
14 |
$29.16 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$18.90 |