| 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 |
7,243 |
5,723 |
$210K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,721 |
1,503 |
$53K |
| 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 |
1,295 |
1,105 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
233 |
183 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
551 |
473 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
577 |
479 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
628 |
450 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,032 |
863 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
40 |
28 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
396 |
327 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
97 |
62 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
30 |
26 |
$2K |
| K0001 |
Standard wheelchair |
128 |
115 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
21 |
13 |
$661.70 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
32 |
31 |
$147.26 |