| 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 |
1,378 |
1,159 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
343 |
277 |
$7K |
| E0570 |
Nebulizer, with compressor |
389 |
350 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
751 |
648 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
306 |
247 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
28 |
27 |
$914.14 |
| K0001 |
Standard wheelchair |
83 |
75 |
$765.93 |
| A7035 |
Headgear used with positive airway pressure device |
48 |
43 |
$705.85 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
159 |
135 |
$368.31 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
17 |
12 |
$342.44 |