| 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 |
1,955 |
1,678 |
$79K |
| E0601 |
Continuous positive airway pressure (cpap) device |
536 |
474 |
$21K |
| E0570 |
Nebulizer, with compressor |
1,044 |
1,003 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,431 |
1,199 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
261 |
219 |
$4K |
| K0003 |
Lightweight wheelchair |
706 |
553 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
132 |
102 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
154 |
144 |
$815.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
84 |
77 |
$174.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$15.12 |