| 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 |
4,275 |
4,182 |
$196K |
| A7031 |
Face mask interface, replacement for full face mask, each |
999 |
968 |
$56K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,203 |
1,197 |
$54K |
| A7030 |
Full face mask used with positive airway pressure device, each |
663 |
651 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,828 |
1,805 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,867 |
2,812 |
$24K |
| E0570 |
Nebulizer, with compressor |
722 |
705 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
745 |
728 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,976 |
1,928 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
706 |
695 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
138 |
137 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
133 |
133 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
50 |
48 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
209 |
207 |
$2K |
| K0001 |
Standard wheelchair |
26 |
26 |
$232.52 |