| 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 |
1,658 |
1,654 |
$93K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,754 |
1,752 |
$75K |
| E0570 |
Nebulizer, with compressor |
658 |
655 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,714 |
1,713 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
959 |
958 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
158 |
156 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
779 |
775 |
$4K |
| K0001 |
Standard wheelchair |
191 |
191 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
123 |
122 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
78 |
78 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
36 |
36 |
$671.68 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$194.33 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
43 |
43 |
$136.25 |