| 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 |
15,830 |
13,315 |
$346K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,412 |
6,147 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
616 |
549 |
$10K |
| E0570 |
Nebulizer, with compressor |
2,530 |
2,221 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,034 |
1,825 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
154 |
142 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
75 |
62 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
253 |
202 |
$1K |
| K0001 |
Standard wheelchair |
86 |
75 |
$848.52 |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
12 |
12 |
$555.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,235 |
1,136 |
$520.99 |
| E0601 |
Continuous positive airway pressure (cpap) device |
36 |
25 |
$495.50 |
| E1392 |
Portable oxygen concentrator, rental |
24 |
24 |
$358.82 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
16 |
13 |
$274.12 |