| 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 |
2,353 |
2,158 |
$113K |
| E0570 |
Nebulizer, with compressor |
2,724 |
2,486 |
$110K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
711 |
702 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,446 |
1,380 |
$15K |
| E0601 |
Continuous positive airway pressure (cpap) device |
460 |
449 |
$13K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
899 |
860 |
$10K |
| K0001 |
Standard wheelchair |
772 |
768 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
56 |
54 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
348 |
312 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
466 |
365 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,411 |
1,304 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
69 |
66 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
519 |
455 |
$886.79 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
30 |
27 |
$754.71 |
| A7035 |
Headgear used with positive airway pressure device |
18 |
16 |
$86.35 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
30 |
28 |
$59.64 |