| 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 |
18,272 |
16,122 |
$431K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,313 |
2,063 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,877 |
3,464 |
$72K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,810 |
8,631 |
$58K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,432 |
3,039 |
$56K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,442 |
1,306 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,468 |
1,299 |
$25K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,067 |
974 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
3,117 |
2,898 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,783 |
6,122 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
2,091 |
1,882 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,438 |
2,133 |
$13K |
| E0570 |
Nebulizer, with compressor |
2,496 |
2,273 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,720 |
1,570 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
208 |
189 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,460 |
1,298 |
$1K |
| K0001 |
Standard wheelchair |
150 |
131 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
28 |
27 |
$15.83 |