| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,488 |
1,407 |
$77K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,016 |
987 |
$55K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,356 |
1,271 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
355 |
355 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
229 |
229 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
395 |
395 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
298 |
298 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
582 |
562 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,328 |
1,327 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
215 |
215 |
$4K |
| K0001 |
Standard wheelchair |
208 |
195 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
343 |
343 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
150 |
150 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
40 |
40 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
27 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
28 |
28 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
204 |
204 |
$1K |