| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,285 |
1,973 |
$68K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,585 |
2,222 |
$22K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
593 |
482 |
$18K |
| E0570 |
Nebulizer, with compressor |
625 |
512 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
296 |
271 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
30 |
28 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
617 |
568 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
98 |
91 |
$1K |
| K0001 |
Standard wheelchair |
82 |
66 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
100 |
93 |
$884.21 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
50 |
46 |
$231.38 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
29 |
24 |
$199.55 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
15 |
13 |
$43.25 |