| 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 |
1,645 |
1,641 |
$24K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
994 |
992 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
148 |
147 |
$2K |
| E0570 |
Nebulizer, with compressor |
383 |
383 |
$487.88 |
| K0001 |
Standard wheelchair |
84 |
73 |
$286.47 |
| E0601 |
Continuous positive airway pressure (cpap) device |
24 |
24 |
$197.85 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
26 |
$115.30 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
27 |
27 |
$107.04 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$20.32 |