| 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 |
2,614 |
2,594 |
$194K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,541 |
2,523 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
640 |
640 |
$37K |
| E0570 |
Nebulizer, with compressor |
1,157 |
1,143 |
$25K |
| K0001 |
Standard wheelchair |
415 |
413 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
659 |
659 |
$10K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
69 |
69 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
152 |
149 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
44 |
44 |
$991.65 |
| K0003 |
Lightweight wheelchair |
26 |
25 |
$959.37 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
24 |
24 |
$714.43 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
39 |
39 |
$458.25 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
13 |
$328.56 |
| E0156 |
Seat attachment, walker |
54 |
53 |
$183.67 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
12 |
12 |
$128.74 |