| 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 |
10,833 |
8,199 |
$247K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,673 |
3,118 |
$33K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,154 |
965 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
500 |
295 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,274 |
1,043 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
158 |
123 |
$5K |
| K0001 |
Standard wheelchair |
646 |
542 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
978 |
784 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
481 |
411 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
127 |
99 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
229 |
180 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
499 |
266 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
46 |
24 |
$706.87 |
| E0570 |
Nebulizer, with compressor |
188 |
184 |
$244.26 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
35 |
32 |
$241.37 |