| 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 |
3,615 |
3,575 |
$128K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,834 |
1,829 |
$38K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,279 |
1,267 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
1,505 |
1,483 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
271 |
268 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
330 |
329 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,006 |
991 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
408 |
405 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
51 |
51 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
280 |
278 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
26 |
26 |
$753.15 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
103 |
102 |
$517.28 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$389.02 |
| A7037 |
Tubing used with positive airway pressure device |
38 |
38 |
$242.77 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$199.81 |
| E0570 |
Nebulizer, with compressor |
136 |
136 |
$127.01 |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
106 |
106 |
$0.00 |