| 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 |
2,034 |
2,004 |
$152K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,595 |
1,581 |
$21K |
| E0570 |
Nebulizer, with compressor |
228 |
226 |
$11K |
| K0001 |
Standard wheelchair |
363 |
327 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
56 |
55 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
123 |
122 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
245 |
238 |
$972.83 |
| A7031 |
Face mask interface, replacement for full face mask, each |
26 |
25 |
$545.06 |
| A7015 |
Aerosol mask, used with dme nebulizer |
86 |
83 |
$101.22 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
73 |
72 |
$72.81 |