| 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 |
1,741 |
1,552 |
$56K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,193 |
1,978 |
$51K |
| E0570 |
Nebulizer, with compressor |
995 |
908 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
1,322 |
1,229 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
421 |
398 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
135 |
129 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,918 |
1,521 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
751 |
707 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
143 |
138 |
$3K |
| K0001 |
Standard wheelchair |
184 |
167 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
421 |
405 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
30 |
$558.34 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
14 |
$479.08 |
| K0003 |
Lightweight wheelchair |
25 |
25 |
$309.99 |
| E0310 |
Bed side rails, full length |
12 |
12 |
$198.29 |
| A7015 |
Aerosol mask, used with dme nebulizer |
31 |
29 |
$43.74 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
32 |
30 |
$3.64 |