| 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 |
9,527 |
7,136 |
$312K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,324 |
4,767 |
$41K |
| K0001 |
Standard wheelchair |
1,109 |
914 |
$19K |
| E0570 |
Nebulizer, with compressor |
1,353 |
1,086 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
806 |
636 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,279 |
946 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
940 |
753 |
$6K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
30 |
14 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
84 |
78 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
351 |
316 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
74 |
67 |
$906.48 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$552.53 |
| A7031 |
Face mask interface, replacement for full face mask, each |
19 |
16 |
$321.64 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
101 |
79 |
$114.74 |