| 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 |
13,184 |
10,812 |
$395K |
| 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 |
4,817 |
3,973 |
$161K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,598 |
1,256 |
$44K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,774 |
1,240 |
$30K |
| E0570 |
Nebulizer, with compressor |
928 |
716 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
18 |
14 |
$2K |
| K0001 |
Standard wheelchair |
302 |
186 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
174 |
90 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
66 |
55 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
223 |
154 |
$806.74 |
| A7035 |
Headgear used with positive airway pressure device |
42 |
27 |
$555.47 |