| 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 |
12,867 |
8,220 |
$591K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,286 |
2,080 |
$87K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,594 |
6,164 |
$75K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,040 |
663 |
$50K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,676 |
1,090 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,324 |
1,523 |
$21K |
| E0570 |
Nebulizer, with compressor |
3,026 |
1,887 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,427 |
948 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,333 |
2,882 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
623 |
398 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,235 |
804 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
309 |
184 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
119 |
68 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
68 |
36 |
$960.36 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
289 |
201 |
$796.44 |
| K0001 |
Standard wheelchair |
28 |
24 |
$409.66 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
21 |
13 |
$337.90 |