| 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 |
2,120 |
1,931 |
$82K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,044 |
950 |
$78K |
| E0570 |
Nebulizer, with compressor |
1,110 |
1,051 |
$39K |
| A7030 |
Full face mask used with positive airway pressure device, each |
235 |
219 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,721 |
1,577 |
$15K |
| K0001 |
Standard wheelchair |
337 |
321 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
152 |
142 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
167 |
156 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,234 |
1,107 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
62 |
39 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
299 |
281 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
101 |
94 |
$521.64 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$436.06 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
57 |
55 |
$377.70 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
67 |
65 |
$267.42 |