| 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 |
2,363 |
2,229 |
$86K |
| E0601 |
Continuous positive airway pressure (cpap) device |
736 |
690 |
$13K |
| E0570 |
Nebulizer, with compressor |
697 |
671 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,151 |
1,076 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
327 |
327 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
44 |
40 |
$2K |
| K0001 |
Standard wheelchair |
244 |
242 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
216 |
211 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
55 |
52 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
179 |
172 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
248 |
236 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
32 |
31 |
$255.73 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
12 |
12 |
$19.08 |