| 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 |
4,103 |
3,957 |
$145K |
| E0570 |
Nebulizer, with compressor |
2,210 |
2,118 |
$91K |
| E1392 |
Portable oxygen concentrator, rental |
2,991 |
2,879 |
$38K |
| E0601 |
Continuous positive airway pressure (cpap) device |
664 |
633 |
$6K |
| K0001 |
Standard wheelchair |
518 |
470 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
846 |
802 |
$515.07 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
15 |
13 |
$75.09 |
| A7035 |
Headgear used with positive airway pressure device |
18 |
12 |
$58.30 |
| 0011A |
|
24 |
23 |
$14.15 |
| E0156 |
Seat attachment, walker |
24 |
24 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |
| 0003A |
|
28 |
28 |
$0.00 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |