| 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 |
2,630 |
2,629 |
$154K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,148 |
2,146 |
$101K |
| E0570 |
Nebulizer, with compressor |
1,796 |
1,791 |
$42K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,262 |
1,256 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,682 |
1,682 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,178 |
2,176 |
$20K |
| K0001 |
Standard wheelchair |
643 |
641 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
862 |
853 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
77 |
76 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
160 |
159 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
107 |
107 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
77 |
77 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
52 |
52 |
$251.07 |
| A7015 |
Aerosol mask, used with dme nebulizer |
24 |
24 |
$23.09 |