| 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 |
11,922 |
8,536 |
$298K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,634 |
4,242 |
$30K |
| A7030 |
Full face mask used with positive airway pressure device, each |
459 |
401 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,117 |
719 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
752 |
631 |
$10K |
| E0570 |
Nebulizer, with compressor |
1,819 |
1,377 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,447 |
967 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
761 |
664 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,417 |
2,043 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
285 |
258 |
$3K |
| K0001 |
Standard wheelchair |
226 |
189 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
71 |
59 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
130 |
98 |
$549.32 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
68 |
52 |
$33.18 |