| 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 |
3,274 |
2,301 |
$140K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,160 |
830 |
$40K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,026 |
734 |
$21K |
| E0570 |
Nebulizer, with compressor |
1,095 |
754 |
$13K |
| A4554 |
Disposable underpads, all sizes |
272 |
208 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,557 |
1,090 |
$11K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
75 |
52 |
$6K |
| K0001 |
Standard wheelchair |
1,096 |
753 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
35 |
26 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
101 |
74 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
20 |
13 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
452 |
306 |
$1K |
| 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 |
163 |
112 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
41 |
26 |
$914.15 |
| A7035 |
Headgear used with positive airway pressure device |
30 |
25 |
$495.34 |