| 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 |
10,779 |
9,259 |
$249K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,090 |
2,597 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,638 |
3,189 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
2,200 |
1,924 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,083 |
898 |
$17K |
| K0001 |
Standard wheelchair |
565 |
491 |
$6K |
| E0570 |
Nebulizer, with compressor |
943 |
809 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
176 |
137 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,106 |
868 |
$2K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
17 |
12 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
173 |
125 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
40 |
26 |
$676.18 |
| A7030 |
Full face mask used with positive airway pressure device, each |
19 |
13 |
$675.18 |
| A7037 |
Tubing used with positive airway pressure device |
164 |
114 |
$591.04 |
| A7000 |
Canister, disposable, used with suction pump, each |
18 |
12 |
$332.68 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
25 |
$199.03 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
13 |
$41.16 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
39 |
29 |
$20.69 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
33 |
25 |
$9.81 |