| 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 |
5,432 |
4,978 |
$138K |
| E0570 |
Nebulizer, with compressor |
5,400 |
5,176 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,280 |
1,137 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,064 |
2,804 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,599 |
1,411 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
589 |
546 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
917 |
872 |
$6K |
| K0001 |
Standard wheelchair |
704 |
637 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,199 |
1,076 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
111 |
103 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
30 |
26 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
63 |
58 |
$604.94 |
| A7031 |
Face mask interface, replacement for full face mask, each |
40 |
36 |
$556.02 |
| K0003 |
Lightweight wheelchair |
52 |
49 |
$501.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
163 |
158 |
$179.36 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
12 |
$63.17 |