| 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 |
1,310 |
1,165 |
$42K |
| 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 |
694 |
632 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
411 |
358 |
$14K |
| E0570 |
Nebulizer, with compressor |
870 |
786 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
416 |
300 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
56 |
52 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
147 |
136 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
181 |
154 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
29 |
29 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
261 |
246 |
$905.61 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
24 |
24 |
$606.48 |
| A7037 |
Tubing used with positive airway pressure device |
38 |
36 |
$549.38 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
24 |
$83.63 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
39 |
37 |
$42.72 |