| 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 |
4,670 |
4,063 |
$139K |
| E0570 |
Nebulizer, with compressor |
1,311 |
1,082 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,249 |
2,696 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
505 |
391 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,352 |
969 |
$6K |
| K0001 |
Standard wheelchair |
142 |
93 |
$744.69 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$193.95 |
| A7031 |
Face mask interface, replacement for full face mask, each |
17 |
13 |
$56.56 |
| A7035 |
Headgear used with positive airway pressure device |
31 |
24 |
$40.79 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
155 |
115 |
$39.51 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$0.00 |