| 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 |
6,327 |
5,881 |
$269K |
| E0570 |
Nebulizer, with compressor |
5,151 |
4,602 |
$251K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,087 |
2,770 |
$44K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
849 |
781 |
$22K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,000 |
932 |
$19K |
| 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 |
2,237 |
2,186 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
405 |
383 |
$4K |
| K0001 |
Standard wheelchair |
806 |
758 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
16 |
13 |
$703.65 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$289.86 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
103 |
101 |
$273.17 |
| A7037 |
Tubing used with positive airway pressure device |
80 |
78 |
$267.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
58 |
51 |
$104.54 |