| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,442 |
3,439 |
$171K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,613 |
1,591 |
$80K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,868 |
1,865 |
$37K |
| A7030 |
Full face mask used with positive airway pressure device, each |
652 |
651 |
$37K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
738 |
736 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
479 |
479 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,210 |
1,205 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
546 |
544 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,702 |
2,437 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
605 |
604 |
$4K |
| E0570 |
Nebulizer, with compressor |
28 |
28 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
137 |
137 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$1K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
118 |
117 |
$817.29 |
| K0001 |
Standard wheelchair |
120 |
120 |
$714.64 |
| E1392 |
Portable oxygen concentrator, rental |
36 |
36 |
$502.29 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$383.20 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
37 |
37 |
$67.84 |