| 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 |
10,676 |
7,978 |
$268K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,132 |
1,024 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,823 |
5,145 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,487 |
1,763 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,553 |
1,375 |
$30K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
559 |
509 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,141 |
2,237 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,286 |
1,163 |
$15K |
| E0570 |
Nebulizer, with compressor |
1,980 |
1,587 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,118 |
1,002 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,910 |
3,507 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
756 |
673 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
285 |
255 |
$4K |
| K0001 |
Standard wheelchair |
808 |
684 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
54 |
51 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
48 |
39 |
$191.81 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
32 |
28 |
$119.34 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
348 |
225 |
$102.31 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
34 |
27 |
$31.56 |