| 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 |
7,348 |
6,029 |
$244K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,127 |
3,262 |
$135K |
| E0601 |
Continuous positive airway pressure (cpap) device |
705 |
597 |
$16K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
425 |
299 |
$9K |
| E0570 |
Nebulizer, with compressor |
331 |
286 |
$3K |
| K0001 |
Standard wheelchair |
290 |
188 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
162 |
138 |
$824.19 |
| A7035 |
Headgear used with positive airway pressure device |
43 |
37 |
$656.64 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
13 |
$358.13 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$18.34 |