| 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 |
7,234 |
6,431 |
$268K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,558 |
3,151 |
$28K |
| E0570 |
Nebulizer, with compressor |
1,592 |
1,363 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
299 |
241 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
193 |
165 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
147 |
127 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
640 |
555 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
59 |
54 |
$669.38 |
| K0001 |
Standard wheelchair |
43 |
40 |
$602.85 |
| A7035 |
Headgear used with positive airway pressure device |
18 |
16 |
$124.69 |
| E1392 |
Portable oxygen concentrator, rental |
17 |
15 |
$67.45 |