| 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 |
5,412 |
5,133 |
$151K |
| E0601 |
Continuous positive airway pressure (cpap) device |
991 |
935 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,790 |
3,584 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
882 |
814 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,040 |
1,919 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
371 |
340 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
851 |
800 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
1,005 |
946 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,169 |
1,082 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
166 |
161 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
204 |
192 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
38 |
38 |
$925.88 |
| K0001 |
Standard wheelchair |
28 |
27 |
$326.57 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$185.68 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
29 |
27 |
$0.00 |