| 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 |
6,601 |
5,030 |
$175K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,085 |
1,846 |
$52K |
| A7030 |
Full face mask used with positive airway pressure device, each |
862 |
754 |
$43K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,033 |
1,563 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,406 |
1,235 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,419 |
3,321 |
$22K |
| E0570 |
Nebulizer, with compressor |
2,102 |
1,526 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,705 |
2,024 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
994 |
838 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,459 |
3,010 |
$6K |
| K0001 |
Standard wheelchair |
912 |
656 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
443 |
386 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
269 |
221 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
80 |
69 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
57 |
44 |
$321.73 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
371 |
282 |
$125.31 |