| 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 |
4,101 |
3,223 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,725 |
2,128 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
404 |
304 |
$3K |
| E0570 |
Nebulizer, with compressor |
369 |
313 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
16 |
14 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
55 |
48 |
$947.30 |
| K0003 |
Lightweight wheelchair |
133 |
99 |
$797.63 |
| A7035 |
Headgear used with positive airway pressure device |
17 |
14 |
$125.43 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
41 |
27 |
$44.70 |