| 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 |
3,187 |
3,180 |
$307K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,218 |
2,208 |
$144K |
| E0570 |
Nebulizer, with compressor |
5,867 |
5,857 |
$80K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,888 |
1,881 |
$35K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,768 |
2,759 |
$33K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
416 |
412 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
590 |
589 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
481 |
480 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
131 |
131 |
$12K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
50 |
50 |
$8K |
| K0001 |
Standard wheelchair |
251 |
251 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
621 |
621 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$797.75 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
26 |
26 |
$16.88 |