| 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 |
3,785 |
3,101 |
$206K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,446 |
2,171 |
$31K |
| E0570 |
Nebulizer, with compressor |
738 |
567 |
$17K |
| K0001 |
Standard wheelchair |
384 |
277 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
83 |
64 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
107 |
92 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
635 |
560 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
24 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
85 |
80 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
523 |
458 |
$709.23 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
32 |
25 |
$632.63 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
79 |
53 |
$439.54 |
| A4259 |
Lancets, per box of 100 |
20 |
12 |
$10.78 |