| 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 |
2,459 |
2,203 |
$89K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,656 |
2,521 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,409 |
1,301 |
$51K |
| A7037 |
Tubing used with positive airway pressure device |
2,345 |
2,211 |
$21K |
| E0570 |
Nebulizer, with compressor |
510 |
434 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,393 |
1,286 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,741 |
1,563 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,287 |
3,067 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
179 |
163 |
$8K |
| K0001 |
Standard wheelchair |
166 |
141 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
363 |
327 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
92 |
81 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
147 |
134 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
54 |
50 |
$41.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$26.19 |