| 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 |
8,211 |
8,175 |
$325K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,680 |
4,668 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
830 |
828 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
586 |
585 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
378 |
378 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,660 |
1,655 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
689 |
687 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,863 |
1,851 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
437 |
436 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
296 |
296 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
275 |
267 |
$295.33 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$292.49 |
| K0001 |
Standard wheelchair |
12 |
12 |
$271.28 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$202.30 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
63 |
63 |
$168.68 |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$152.00 |