| 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 |
3,955 |
2,740 |
$140K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,157 |
2,193 |
$67K |
| A7030 |
Full face mask used with positive airway pressure device, each |
663 |
478 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,874 |
1,354 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,669 |
1,237 |
$25K |
| E0570 |
Nebulizer, with compressor |
1,635 |
1,074 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
270 |
202 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
622 |
494 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
682 |
521 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,801 |
1,338 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
363 |
286 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
54 |
37 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
506 |
289 |
$675.34 |
| K0003 |
Lightweight wheelchair |
35 |
24 |
$385.39 |