| 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 |
7,116 |
6,509 |
$155K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,300 |
3,970 |
$22K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,112 |
966 |
$18K |
| E0570 |
Nebulizer, with compressor |
1,646 |
1,488 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
391 |
330 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,556 |
1,297 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
805 |
632 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,141 |
2,746 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
353 |
281 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
704 |
655 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
617 |
482 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
307 |
247 |
$4K |
| K0001 |
Standard wheelchair |
457 |
417 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
216 |
198 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
482 |
383 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
248 |
192 |
$707.91 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
29 |
26 |
$676.36 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
503 |
446 |
$647.07 |