| 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 |
10,829 |
10,699 |
$419K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,105 |
6,026 |
$48K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,582 |
1,568 |
$38K |
| A7030 |
Full face mask used with positive airway pressure device, each |
919 |
918 |
$35K |
| E1392 |
Portable oxygen concentrator, rental |
1,158 |
1,145 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,090 |
1,060 |
$27K |
| E0570 |
Nebulizer, with compressor |
1,676 |
1,664 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,342 |
1,304 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
945 |
941 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,924 |
2,899 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
690 |
689 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
262 |
261 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
93 |
92 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
41 |
41 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
441 |
440 |
$988.87 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
857 |
826 |
$983.59 |
| K0001 |
Standard wheelchair |
40 |
40 |
$607.62 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
53 |
53 |
$38.12 |