| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,800 |
1,300 |
$68K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,351 |
1,710 |
$67K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,258 |
1,564 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
194 |
127 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
461 |
366 |
$13K |
| E0570 |
Nebulizer, with compressor |
510 |
345 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
574 |
434 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,302 |
1,042 |
$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 |
343 |
245 |
$2K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
282 |
197 |
$2K |
| K0001 |
Standard wheelchair |
31 |
25 |
$327.72 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
32 |
26 |
$247.28 |
| A7015 |
Aerosol mask, used with dme nebulizer |
100 |
63 |
$132.67 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
35 |
28 |
$112.38 |