| 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 |
19,432 |
13,810 |
$1.06M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,393 |
9,218 |
$163K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,624 |
2,163 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,611 |
1,241 |
$78K |
| E1392 |
Portable oxygen concentrator, rental |
1,923 |
1,385 |
$41K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,152 |
1,579 |
$40K |
| E0570 |
Nebulizer, with compressor |
5,283 |
3,479 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
758 |
586 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,061 |
3,250 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,026 |
831 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,142 |
847 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
566 |
432 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,310 |
1,443 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
310 |
198 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
33 |
16 |
$1K |
| K0001 |
Standard wheelchair |
33 |
25 |
$730.42 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
34 |
26 |
$556.43 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
17 |
12 |
$28.19 |