| 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 |
2,660 |
2,598 |
$42K |
| 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 |
1,370 |
1,334 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
199 |
188 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
776 |
750 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
165 |
152 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
327 |
305 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
419 |
386 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
649 |
640 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,261 |
1,196 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
182 |
175 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
127 |
120 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
31 |
28 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
24 |
24 |
$735.29 |
| K0001 |
Standard wheelchair |
38 |
38 |
$656.96 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
12 |
$620.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
264 |
207 |
$234.50 |