| 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 |
9,699 |
9,611 |
$787K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,992 |
3,963 |
$225K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,592 |
5,537 |
$79K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,332 |
4,296 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
815 |
802 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
863 |
850 |
$32K |
| E0570 |
Nebulizer, with compressor |
1,185 |
1,164 |
$26K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
227 |
227 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,006 |
1,976 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
1,471 |
1,451 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,113 |
1,103 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
464 |
455 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,049 |
1,041 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
110 |
109 |
$2K |
| K0001 |
Standard wheelchair |
12 |
12 |
$265.74 |