| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
721 |
576 |
$48K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,093 |
901 |
$30K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
565 |
452 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
651 |
512 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,104 |
924 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
961 |
801 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
452 |
398 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,732 |
1,373 |
$7K |
| E0570 |
Nebulizer, with compressor |
338 |
276 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
80 |
54 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
466 |
382 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
227 |
133 |
$2K |
| K0001 |
Standard wheelchair |
112 |
83 |
$878.50 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
30 |
25 |
$325.56 |