| 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 |
7,476 |
6,032 |
$268K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,821 |
1,471 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,170 |
4,175 |
$21K |
| E0570 |
Nebulizer, with compressor |
1,382 |
1,125 |
$15K |
| K0001 |
Standard wheelchair |
1,102 |
821 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
95 |
67 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,140 |
929 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
358 |
291 |
$594.13 |
| A7030 |
Full face mask used with positive airway pressure device, each |
101 |
84 |
$502.14 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
445 |
358 |
$73.20 |
| A7031 |
Face mask interface, replacement for full face mask, each |
101 |
84 |
$49.83 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
68 |
54 |
$33.11 |
| A7035 |
Headgear used with positive airway pressure device |
179 |
150 |
$26.39 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
36 |
30 |
$12.12 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
59 |
50 |
$6.27 |
| A7037 |
Tubing used with positive airway pressure device |
427 |
352 |
$5.63 |