| 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 |
2,911 |
2,892 |
$202K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,379 |
1,376 |
$53K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
309 |
309 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
741 |
738 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
547 |
545 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
352 |
352 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
699 |
696 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,503 |
1,434 |
$6K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
45 |
45 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
283 |
282 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
484 |
482 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
144 |
143 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
321 |
318 |
$4K |
| 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 |
168 |
168 |
$2K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
227 |
227 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
75 |
75 |
$701.00 |
| E0570 |
Nebulizer, with compressor |
24 |
24 |
$334.28 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$307.57 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
28 |
28 |
$19.02 |