| 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 |
7,592 |
6,461 |
$157K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,868 |
2,563 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
701 |
597 |
$21K |
| A7030 |
Full face mask used with positive airway pressure device, each |
381 |
292 |
$15K |
| 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 |
1,635 |
1,380 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
2,090 |
1,737 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,526 |
1,384 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
440 |
334 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
820 |
627 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
286 |
233 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
959 |
751 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
281 |
222 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,863 |
1,519 |
$5K |
| K0001 |
Standard wheelchair |
427 |
378 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
141 |
126 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
141 |
116 |
$740.20 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
15 |
12 |
$361.34 |
| E0570 |
Nebulizer, with compressor |
94 |
85 |
$223.38 |