| 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 |
1,580 |
1,446 |
$175K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,183 |
2,098 |
$125K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,352 |
2,283 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
698 |
669 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
618 |
590 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
83 |
79 |
$10K |
| K0001 |
Standard wheelchair |
262 |
237 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
485 |
463 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
789 |
758 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
178 |
161 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
25 |
24 |
$2K |
| E0570 |
Nebulizer, with compressor |
17 |
12 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
39 |
37 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
24 |
$106.88 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$18.00 |