| 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 |
11,693 |
11,573 |
$168K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,269 |
1,268 |
$149K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,896 |
3,820 |
$22K |
| E0601 |
Continuous positive airway pressure (cpap) device |
250 |
246 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
266 |
263 |
$4K |
| E0570 |
Nebulizer, with compressor |
1,793 |
1,779 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
293 |
293 |
$3K |
| K0001 |
Standard wheelchair |
433 |
433 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
277 |
276 |
$569.83 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
53 |
53 |
$167.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
106 |
102 |
$35.85 |
| 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 |
26 |
26 |
$0.00 |
| E1392 |
Portable oxygen concentrator, rental |
46 |
46 |
$0.00 |