| 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 |
29,341 |
25,294 |
$709K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,397 |
11,347 |
$78K |
| E1392 |
Portable oxygen concentrator, rental |
2,533 |
2,289 |
$19K |
| E0570 |
Nebulizer, with compressor |
5,369 |
4,761 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
451 |
401 |
$8K |
| K0001 |
Standard wheelchair |
845 |
733 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
509 |
475 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,412 |
1,208 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
138 |
115 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,377 |
2,115 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
81 |
60 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
265 |
200 |
$1K |
| A7526 |
Tracheostomy tube collar/holder, each |
15 |
12 |
$711.81 |
| A7037 |
Tubing used with positive airway pressure device |
68 |
63 |
$370.75 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
20 |
12 |
$169.29 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
12 |
$45.52 |
| A7015 |
Aerosol mask, used with dme nebulizer |
104 |
85 |
$45.41 |