| 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 |
3,994 |
3,667 |
$157K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,795 |
2,447 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,042 |
890 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,530 |
2,327 |
$24K |
| E0570 |
Nebulizer, with compressor |
567 |
474 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,334 |
1,116 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,268 |
3,789 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
1,089 |
962 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
547 |
484 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
375 |
328 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
87 |
74 |
$5K |
| K0001 |
Standard wheelchair |
222 |
188 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
110 |
98 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
280 |
243 |
$528.52 |