| 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 |
1,759 |
1,732 |
$79K |
| 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 |
711 |
710 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
287 |
277 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
541 |
534 |
$9K |
| E0570 |
Nebulizer, with compressor |
377 |
376 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
90 |
88 |
$3K |
| K0001 |
Standard wheelchair |
232 |
222 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
152 |
144 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
164 |
156 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
241 |
233 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
24 |
24 |
$982.72 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
14 |
14 |
$643.30 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
122 |
114 |
$485.78 |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
14 |
$410.35 |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
13 |
$340.40 |