| 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 |
334 |
298 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
43 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
110 |
83 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
73 |
62 |
$884.74 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
129 |
111 |
$808.55 |
| E0601 |
Continuous positive airway pressure (cpap) device |
83 |
64 |
$758.18 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
95 |
75 |
$444.55 |
| A7035 |
Headgear used with positive airway pressure device |
53 |
39 |
$193.86 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
140 |
121 |
$127.52 |
| E0570 |
Nebulizer, with compressor |
149 |
106 |
$112.40 |
| E1392 |
Portable oxygen concentrator, rental |
14 |
12 |
$33.52 |