| 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 |
2,935 |
2,895 |
$97K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,389 |
1,377 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,212 |
1,180 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
339 |
326 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$366.08 |
| A7035 |
Headgear used with positive airway pressure device |
44 |
44 |
$277.07 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$273.97 |
| E0570 |
Nebulizer, with compressor |
140 |
130 |
$272.09 |
| A7037 |
Tubing used with positive airway pressure device |
25 |
25 |
$248.10 |
| K0001 |
Standard wheelchair |
13 |
13 |
$67.27 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$0.00 |