| 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 |
3,533 |
3,279 |
$95K |
| A7030 |
Full face mask used with positive airway pressure device, each |
476 |
436 |
$21K |
| E0601 |
Continuous positive airway pressure (cpap) device |
906 |
822 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,273 |
2,121 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
324 |
297 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
694 |
640 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
205 |
176 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
746 |
721 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
366 |
345 |
$3K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
162 |
161 |
$2K |
| E0570 |
Nebulizer, with compressor |
448 |
429 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
828 |
773 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
46 |
39 |
$1K |
| K0003 |
Lightweight wheelchair |
179 |
160 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
92 |
90 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
325 |
297 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
92 |
90 |
$264.01 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
12 |
12 |
$37.51 |