| 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 |
5,580 |
4,488 |
$232K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,730 |
2,507 |
$114K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,737 |
1,595 |
$62K |
| K0001 |
Standard wheelchair |
1,129 |
1,029 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
262 |
245 |
$8K |
| E1399 |
Durable medical equipment, miscellaneous |
292 |
82 |
$6K |
| E0570 |
Nebulizer, with compressor |
355 |
326 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
554 |
464 |
$4K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
41 |
39 |
$3K |
| 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 |
291 |
222 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
379 |
309 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
129 |
111 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
45 |
40 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
108 |
79 |
$579.27 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
12 |
$83.23 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
31 |
28 |
$39.82 |