| 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 |
10,167 |
7,595 |
$263K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,764 |
1,395 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,967 |
2,171 |
$59K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,590 |
6,683 |
$51K |
| E0570 |
Nebulizer, with compressor |
2,831 |
2,292 |
$43K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,319 |
1,723 |
$36K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,310 |
1,876 |
$33K |
| K0001 |
Standard wheelchair |
2,647 |
1,974 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,597 |
1,953 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,675 |
1,391 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
2,450 |
1,931 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,050 |
871 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,674 |
3,720 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
120 |
116 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
355 |
311 |
$3K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
42 |
36 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
43 |
42 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
175 |
138 |
$467.79 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
17 |
12 |
$55.89 |