| 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 |
2,286 |
2,190 |
$126K |
| E0570 |
Nebulizer, with compressor |
2,374 |
2,351 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
589 |
577 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,390 |
1,350 |
$18K |
| K0001 |
Standard wheelchair |
619 |
610 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
368 |
365 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
580 |
563 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
812 |
793 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
126 |
126 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
65 |
64 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
133 |
129 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
62 |
56 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,194 |
1,176 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
687 |
675 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
17 |
15 |
$497.43 |
| E1392 |
Portable oxygen concentrator, rental |
26 |
25 |
$194.80 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
12 |
12 |
$157.51 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
13 |
$86.41 |