| 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 |
8,021 |
6,659 |
$227K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,430 |
1,278 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,603 |
3,717 |
$29K |
| A7037 |
Tubing used with positive airway pressure device |
1,445 |
1,269 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
354 |
272 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,701 |
2,364 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,070 |
832 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
386 |
319 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
104 |
89 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
72 |
64 |
$3K |
| E0570 |
Nebulizer, with compressor |
464 |
374 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
37 |
26 |
$971.72 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
117 |
111 |
$926.37 |
| K0001 |
Standard wheelchair |
227 |
189 |
$845.02 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
31 |
29 |
$24.39 |