| 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 |
1,730 |
1,645 |
$114K |
| E0601 |
Continuous positive airway pressure (cpap) device |
926 |
907 |
$64K |
| A7030 |
Full face mask used with positive airway pressure device, each |
453 |
451 |
$54K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
722 |
716 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
583 |
567 |
$26K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
169 |
169 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
215 |
212 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
91 |
90 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
500 |
496 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
223 |
222 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
694 |
655 |
$10K |
| E0570 |
Nebulizer, with compressor |
603 |
597 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
917 |
904 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
204 |
202 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
36 |
36 |
$931.89 |
| K0001 |
Standard wheelchair |
25 |
25 |
$612.61 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
13 |
$262.25 |