| 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 |
8,196 |
6,387 |
$280K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,687 |
4,409 |
$49K |
| E0570 |
Nebulizer, with compressor |
2,065 |
1,549 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,521 |
1,393 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
79 |
77 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
25 |
25 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
37 |
36 |
$978.46 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
24 |
$673.06 |
| A7037 |
Tubing used with positive airway pressure device |
43 |
43 |
$584.11 |
| A7035 |
Headgear used with positive airway pressure device |
45 |
42 |
$417.49 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
24 |
$403.54 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
54 |
36 |
$341.14 |
| K0001 |
Standard wheelchair |
82 |
51 |
$298.26 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
260 |
178 |
$217.51 |