| 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 |
5,433 |
4,151 |
$223K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,049 |
1,391 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,746 |
3,541 |
$41K |
| A7030 |
Full face mask used with positive airway pressure device, each |
785 |
591 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,597 |
1,181 |
$33K |
| A7037 |
Tubing used with positive airway pressure device |
1,512 |
1,198 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,305 |
2,357 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
389 |
365 |
$8K |
| K0001 |
Standard wheelchair |
503 |
411 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
564 |
430 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
63 |
38 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
246 |
196 |
$758.84 |
| E0570 |
Nebulizer, with compressor |
530 |
478 |
$737.39 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$150.65 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
12 |
$0.00 |