| 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 |
10,587 |
6,716 |
$383K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,093 |
1,934 |
$63K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,892 |
5,074 |
$52K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,448 |
957 |
$51K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,550 |
1,003 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,683 |
2,344 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,271 |
854 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,142 |
2,119 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
841 |
599 |
$7K |
| K0001 |
Standard wheelchair |
561 |
369 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
548 |
374 |
$6K |
| E0570 |
Nebulizer, with compressor |
988 |
611 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
157 |
100 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
67 |
49 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
250 |
183 |
$618.22 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
14 |
$367.58 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
18 |
12 |
$180.55 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
44 |
28 |
$120.05 |