| 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 |
4,488 |
3,764 |
$178K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,526 |
2,965 |
$122K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,367 |
1,155 |
$102K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,999 |
2,437 |
$64K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,912 |
1,653 |
$61K |
| A7037 |
Tubing used with positive airway pressure device |
2,731 |
2,357 |
$52K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
911 |
792 |
$48K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,633 |
1,396 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
2,385 |
2,095 |
$44K |
| E0570 |
Nebulizer, with compressor |
2,037 |
1,658 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,748 |
2,398 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
277 |
235 |
$3K |
| K0001 |
Standard wheelchair |
440 |
396 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
88 |
76 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
155 |
129 |
$850.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
135 |
114 |
$248.91 |
| E0156 |
Seat attachment, walker |
15 |
12 |
$82.30 |