| 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 |
4,498 |
3,962 |
$77K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,046 |
969 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,470 |
1,332 |
$14K |
| K0001 |
Standard wheelchair |
2,698 |
2,259 |
$13K |
| E0570 |
Nebulizer, with compressor |
2,160 |
1,834 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,349 |
1,184 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,862 |
1,668 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,262 |
1,140 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
224 |
204 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
974 |
851 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
41 |
39 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
47 |
38 |
$950.70 |
| A7035 |
Headgear used with positive airway pressure device |
102 |
93 |
$578.55 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
165 |
153 |
$252.62 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
12 |
$114.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
29 |
26 |
$21.12 |