| 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 |
628 |
608 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
314 |
302 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
186 |
172 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
96 |
92 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
211 |
194 |
$5K |
| 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 |
191 |
186 |
$4K |
| K0001 |
Standard wheelchair |
357 |
336 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
218 |
206 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
180 |
169 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
256 |
243 |
$3K |
| E0570 |
Nebulizer, with compressor |
226 |
219 |
$2K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
16 |
12 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
68 |
66 |
$525.26 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
36 |
36 |
$368.01 |