| 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 |
2,638 |
2,631 |
$203K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,905 |
1,904 |
$87K |
| E0570 |
Nebulizer, with compressor |
1,385 |
1,363 |
$47K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,656 |
1,656 |
$30K |
| K0003 |
Lightweight wheelchair |
95 |
95 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
38 |
38 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
117 |
116 |
$2K |
| K0001 |
Standard wheelchair |
77 |
77 |
$852.10 |
| A7035 |
Headgear used with positive airway pressure device |
51 |
51 |
$792.28 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$289.54 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
29 |
28 |
$216.72 |
| A7015 |
Aerosol mask, used with dme nebulizer |
29 |
28 |
$35.21 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
57 |
57 |
$30.88 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
83 |
83 |
$26.29 |