| 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 |
7,882 |
5,882 |
$282K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,655 |
1,366 |
$109K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
751 |
551 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
1,885 |
1,546 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,495 |
1,912 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,166 |
845 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
454 |
327 |
$23K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
127 |
114 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
934 |
689 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
98 |
68 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
360 |
240 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,390 |
989 |
$6K |
| K0001 |
Standard wheelchair |
266 |
235 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
197 |
158 |
$5K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
121 |
104 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
258 |
193 |
$3K |
| E0570 |
Nebulizer, with compressor |
82 |
75 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
240 |
170 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
14 |
14 |
$603.00 |