| 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 |
10,482 |
10,174 |
$882K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
6,178 |
6,072 |
$165K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,870 |
2,721 |
$27K |
| K0001 |
Standard wheelchair |
478 |
452 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
56 |
54 |
$4K |
| E0570 |
Nebulizer, with compressor |
30 |
30 |
$3K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
50 |
27 |
$1K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
25 |
25 |
$31.38 |