| 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 |
15,884 |
14,602 |
$617K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,179 |
6,634 |
$64K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,869 |
1,682 |
$57K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,668 |
1,558 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,249 |
2,031 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
383 |
348 |
$16K |
| E0570 |
Nebulizer, with compressor |
938 |
850 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,128 |
1,041 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,352 |
2,172 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
599 |
540 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
581 |
524 |
$2K |
| K0001 |
Standard wheelchair |
13 |
12 |
$156.88 |