| 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 |
6,754 |
5,425 |
$397K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,595 |
3,814 |
$57K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
552 |
534 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
324 |
285 |
$36K |
| A7030 |
Full face mask used with positive airway pressure device, each |
176 |
163 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
498 |
430 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
220 |
188 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
249 |
206 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,132 |
714 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
251 |
222 |
$5K |
| 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 |
129 |
110 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
66 |
49 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
48 |
38 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
49 |
43 |
$814.24 |
| K0001 |
Standard wheelchair |
17 |
13 |
$592.19 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
50 |
46 |
$540.52 |