| 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 |
13,602 |
9,873 |
$264K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,658 |
6,571 |
$42K |
| A7030 |
Full face mask used with positive airway pressure device, each |
653 |
599 |
$30K |
| A7031 |
Face mask interface, replacement for full face mask, each |
984 |
908 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,114 |
712 |
$15K |
| E0570 |
Nebulizer, with compressor |
2,896 |
2,052 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
829 |
752 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,112 |
992 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,587 |
1,070 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,427 |
3,067 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
595 |
526 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
84 |
78 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
68 |
52 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
89 |
76 |
$634.85 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
16 |
14 |
$434.06 |
| K0003 |
Lightweight wheelchair |
43 |
37 |
$349.09 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
18 |
12 |
$56.22 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$47.89 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
14 |
$10.64 |