| 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 |
2,589 |
2,056 |
$44K |
| E0570 |
Nebulizer, with compressor |
1,135 |
964 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,087 |
962 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
277 |
200 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
250 |
190 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
391 |
248 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
369 |
278 |
$2K |
| K0001 |
Standard wheelchair |
190 |
169 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
146 |
123 |
$242.53 |
| A7015 |
Aerosol mask, used with dme nebulizer |
104 |
91 |
$78.29 |