| 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 |
2,746 |
2,546 |
$64K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,387 |
2,195 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
449 |
442 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
323 |
301 |
$5K |
| E0570 |
Nebulizer, with compressor |
523 |
516 |
$5K |
| K0001 |
Standard wheelchair |
500 |
477 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
441 |
407 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
132 |
126 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
64 |
64 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
114 |
108 |
$741.39 |
| A7031 |
Face mask interface, replacement for full face mask, each |
53 |
52 |
$635.17 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
31 |
13 |
$631.11 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
20 |
13 |
$501.07 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
29 |
26 |
$477.09 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$82.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
30 |
30 |
$33.20 |