| 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 |
2,361 |
2,237 |
$202K |
| E0601 |
Continuous positive airway pressure (cpap) device |
729 |
709 |
$30K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
879 |
814 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
747 |
720 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
239 |
239 |
$8K |
| K0001 |
Standard wheelchair |
366 |
363 |
$8K |
| E0570 |
Nebulizer, with compressor |
85 |
85 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
52 |
50 |
$920.11 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$889.56 |
| A7031 |
Face mask interface, replacement for full face mask, each |
25 |
25 |
$737.36 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
101 |
100 |
$430.07 |
| A7037 |
Tubing used with positive airway pressure device |
25 |
25 |
$291.43 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$155.94 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
13 |
$98.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$27.59 |