| 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 |
5,808 |
4,082 |
$162K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,767 |
2,024 |
$70K |
| E0570 |
Nebulizer, with compressor |
3,406 |
2,368 |
$43K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,816 |
1,478 |
$21K |
| 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 |
2,367 |
1,665 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
214 |
159 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
770 |
545 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,971 |
1,424 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
292 |
195 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
167 |
132 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
143 |
102 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
268 |
167 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
36 |
24 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
119 |
96 |
$568.09 |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
24 |
24 |
$524.06 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
147 |
98 |
$418.42 |