| 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 |
2,703 |
2,286 |
$136K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,612 |
1,398 |
$51K |
| A7030 |
Full face mask used with positive airway pressure device, each |
258 |
228 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,242 |
1,062 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,374 |
1,209 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
797 |
718 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
769 |
688 |
$13K |
| E0570 |
Nebulizer, with compressor |
874 |
775 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
185 |
166 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,343 |
1,200 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
168 |
156 |
$795.41 |
| K0001 |
Standard wheelchair |
39 |
36 |
$276.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$20.20 |