| 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 |
1,162 |
1,074 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
428 |
384 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
210 |
206 |
$527.94 |
| E0601 |
Continuous positive airway pressure (cpap) device |
351 |
324 |
$344.83 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
157 |
140 |
$51.58 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
28 |
28 |
$31.77 |
| A7037 |
Tubing used with positive airway pressure device |
42 |
40 |
$24.23 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
31 |
30 |
$16.80 |
| K0001 |
Standard wheelchair |
29 |
29 |
$3.15 |
| E0570 |
Nebulizer, with compressor |
112 |
110 |
$1.08 |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
12 |
12 |
$0.00 |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
88 |
88 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
26 |
24 |
$0.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$0.00 |