| 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 |
10,984 |
7,030 |
$421K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,744 |
4,965 |
$54K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,136 |
1,331 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,060 |
638 |
$44K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,436 |
908 |
$38K |
| E0570 |
Nebulizer, with compressor |
3,091 |
2,041 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,002 |
627 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,449 |
1,645 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
710 |
435 |
$6K |
| K0001 |
Standard wheelchair |
328 |
223 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
371 |
255 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
36 |
26 |
$521.64 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
20 |
14 |
$304.75 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
111 |
66 |
$251.33 |