| 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 |
5,449 |
2,847 |
$114K |
| E0570 |
Nebulizer, with compressor |
1,617 |
1,222 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,346 |
865 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
342 |
197 |
$11K |
| K0001 |
Standard wheelchair |
1,381 |
986 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,621 |
1,064 |
$8K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
202 |
115 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
633 |
406 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
119 |
87 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
117 |
80 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
759 |
585 |
$976.81 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$321.16 |
| A7035 |
Headgear used with positive airway pressure device |
14 |
12 |
$162.49 |
| E0156 |
Seat attachment, walker |
57 |
38 |
$149.17 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
13 |
$148.50 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
13 |
$61.11 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
179 |
148 |
$54.83 |