| 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 |
4,979 |
4,922 |
$269K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,812 |
3,769 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,069 |
1,047 |
$35K |
| A7030 |
Full face mask used with positive airway pressure device, each |
542 |
534 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,132 |
1,101 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
722 |
702 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
1,227 |
1,225 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,413 |
1,378 |
$13K |
| K0001 |
Standard wheelchair |
1,035 |
1,023 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,048 |
2,013 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
453 |
445 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
150 |
149 |
$4K |
| E0570 |
Nebulizer, with compressor |
367 |
367 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
248 |
246 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
24 |
$674.71 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
66 |
62 |
$271.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$8.95 |