| 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 |
1,846 |
1,814 |
$113K |
| E0601 |
Continuous positive airway pressure (cpap) device |
537 |
506 |
$45K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
154 |
149 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
988 |
974 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
147 |
144 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
146 |
141 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
713 |
695 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
197 |
190 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
28 |
28 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
26 |
24 |
$2K |
| K0001 |
Standard wheelchair |
27 |
25 |
$597.61 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
27 |
$410.45 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
12 |
$323.61 |