| 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 |
5,792 |
5,431 |
$207K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,856 |
4,556 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
238 |
218 |
$8K |
| E0570 |
Nebulizer, with compressor |
231 |
216 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
247 |
227 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
182 |
150 |
$3K |
| K0001 |
Standard wheelchair |
232 |
219 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
62 |
59 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
58 |
56 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
201 |
193 |
$806.06 |
| A7037 |
Tubing used with positive airway pressure device |
33 |
33 |
$789.28 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
29 |
29 |
$224.54 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
77 |
74 |
$214.53 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
42 |
39 |
$199.92 |
| A7015 |
Aerosol mask, used with dme nebulizer |
41 |
39 |
$47.90 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
57 |
55 |
$42.74 |