| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,568 |
2,112 |
$60K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,002 |
806 |
$25K |
| A7030 |
Full face mask used with positive airway pressure device, each |
594 |
433 |
$21K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,071 |
751 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,357 |
1,973 |
$16K |
| K0001 |
Standard wheelchair |
1,082 |
812 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
934 |
684 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
1,203 |
881 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,023 |
1,427 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
706 |
549 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
114 |
90 |
$3K |
| E0570 |
Nebulizer, with compressor |
48 |
40 |
$2K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
16 |
13 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
12 |
$461.61 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
182 |
125 |
$410.25 |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
15 |
12 |
$128.22 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
13 |
$43.85 |