| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
742 |
679 |
$37K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
226 |
215 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
875 |
789 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
295 |
258 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
188 |
176 |
$4K |
| K0001 |
Standard wheelchair |
276 |
239 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
83 |
81 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
96 |
95 |
$952.42 |
| A7035 |
Headgear used with positive airway pressure device |
109 |
104 |
$819.47 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
116 |
104 |
$581.90 |
| A7031 |
Face mask interface, replacement for full face mask, each |
31 |
29 |
$517.01 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
14 |
14 |
$359.64 |
| E0570 |
Nebulizer, with compressor |
44 |
43 |
$278.04 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
220 |
198 |
$193.06 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
14 |
$54.28 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
19 |
18 |
$30.62 |