| 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 |
6,574 |
6,462 |
$345K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,525 |
5,427 |
$64K |
| A7031 |
Face mask interface, replacement for full face mask, each |
716 |
677 |
$23K |
| K0001 |
Standard wheelchair |
1,121 |
1,091 |
$17K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
50 |
48 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,086 |
1,032 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
42 |
37 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
59 |
57 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
200 |
194 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
140 |
137 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
56 |
53 |
$1K |
| K0003 |
Lightweight wheelchair |
108 |
108 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
74 |
74 |
$230.91 |
| E0570 |
Nebulizer, with compressor |
192 |
192 |
$205.51 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
107 |
101 |
$110.16 |