| 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 |
3,838 |
3,633 |
$453K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,362 |
2,082 |
$111K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
398 |
392 |
$94K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,171 |
2,957 |
$85K |
| E1392 |
Portable oxygen concentrator, rental |
1,671 |
1,574 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,144 |
2,019 |
$43K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
570 |
552 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
244 |
230 |
$18K |
| K0001 |
Standard wheelchair |
652 |
571 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
499 |
480 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
850 |
785 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
64 |
63 |
$9K |
| E0570 |
Nebulizer, with compressor |
258 |
246 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
98 |
95 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
104 |
87 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
33 |
28 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
26 |
26 |
$2K |