| 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 |
14,117 |
9,030 |
$504K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,168 |
1,406 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,842 |
4,993 |
$45K |
| E0570 |
Nebulizer, with compressor |
2,296 |
1,415 |
$15K |
| K0001 |
Standard wheelchair |
983 |
684 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
388 |
252 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
895 |
647 |
$7K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
16 |
12 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
509 |
320 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
243 |
167 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,002 |
609 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
104 |
65 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
145 |
90 |
$650.38 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
49 |
27 |
$86.49 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
12 |
$79.66 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
212 |
130 |
$64.68 |