| 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 |
11,983 |
7,420 |
$556K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,523 |
2,797 |
$124K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,818 |
1,208 |
$94K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,125 |
1,423 |
$57K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,792 |
4,736 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,774 |
2,902 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
2,387 |
1,605 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,681 |
1,150 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,114 |
2,848 |
$15K |
| K0001 |
Standard wheelchair |
735 |
453 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
499 |
289 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,825 |
1,193 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
99 |
63 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
118 |
52 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
443 |
316 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
260 |
180 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
22 |
12 |
$173.83 |