| 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 |
17,498 |
14,669 |
$357K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,771 |
7,376 |
$39K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,236 |
1,081 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,223 |
975 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
1,433 |
1,149 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,461 |
1,288 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
748 |
628 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
842 |
717 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,575 |
2,191 |
$4K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
285 |
221 |
$3K |
| E0570 |
Nebulizer, with compressor |
1,132 |
929 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
535 |
416 |
$2K |
| K0001 |
Standard wheelchair |
389 |
298 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
116 |
87 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
305 |
276 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
80 |
57 |
$745.03 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
309 |
269 |
$580.03 |