| 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 |
4,947 |
4,608 |
$400K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,116 |
1,942 |
$44K |
| E0601 |
Continuous positive airway pressure (cpap) device |
275 |
270 |
$33K |
| E0570 |
Nebulizer, with compressor |
629 |
625 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
521 |
511 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
431 |
425 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
53 |
50 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
134 |
133 |
$2K |
| K0001 |
Standard wheelchair |
98 |
91 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
14 |
$833.89 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
52 |
52 |
$831.72 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$671.07 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
230 |
227 |
$579.59 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
25 |
25 |
$538.43 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
12 |
12 |
$428.12 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
24 |
24 |
$67.16 |