| 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 |
1,421 |
1,373 |
$137K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,880 |
1,810 |
$97K |
| E1392 |
Portable oxygen concentrator, rental |
660 |
605 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
260 |
254 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
59 |
57 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
167 |
163 |
$4K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
56 |
50 |
$4K |
| 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 |
84 |
80 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
29 |
29 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
420 |
406 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
38 |
37 |
$2K |
| A4670 |
Automatic blood pressure monitor |
26 |
26 |
$2K |
| E0570 |
Nebulizer, with compressor |
28 |
28 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
15 |
$609.52 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
26 |
$349.85 |