| 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 |
7,965 |
5,731 |
$288K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,243 |
968 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,196 |
4,560 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,563 |
1,233 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,355 |
950 |
$34K |
| A7037 |
Tubing used with positive airway pressure device |
1,826 |
1,400 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,070 |
2,470 |
$13K |
| E0570 |
Nebulizer, with compressor |
1,866 |
1,386 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
548 |
394 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
792 |
626 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
190 |
163 |
$6K |
| K0001 |
Standard wheelchair |
451 |
353 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
477 |
396 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
12 |
$218.16 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$113.07 |