| 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 |
3,270 |
3,269 |
$155K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,339 |
1,338 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,567 |
2,566 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
854 |
854 |
$18K |
| E0570 |
Nebulizer, with compressor |
913 |
912 |
$10K |
| K0003 |
Lightweight wheelchair |
345 |
345 |
$6K |
| K0001 |
Standard wheelchair |
373 |
372 |
$3K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
41 |
41 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
45 |
45 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
257 |
257 |
$998.52 |
| A7035 |
Headgear used with positive airway pressure device |
106 |
106 |
$779.33 |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$635.46 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
25 |
25 |
$583.33 |
| A7030 |
Full face mask used with positive airway pressure device, each |
24 |
24 |
$437.54 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
18 |
18 |
$286.54 |