| 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 |
1,696 |
1,695 |
$128K |
| E0601 |
Continuous positive airway pressure (cpap) device |
762 |
758 |
$51K |
| E0570 |
Nebulizer, with compressor |
271 |
271 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
811 |
811 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,059 |
1,058 |
$15K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
345 |
345 |
$13K |
| K0001 |
Standard wheelchair |
340 |
338 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
26 |
26 |
$622.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
73 |
73 |
$165.04 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14 |
14 |
$59.63 |