| 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 |
5,287 |
5,236 |
$112K |
| E1392 |
Portable oxygen concentrator, rental |
2,088 |
2,067 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,016 |
1,985 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
538 |
533 |
$6K |
| K0003 |
Lightweight wheelchair |
244 |
236 |
$5K |
| E0570 |
Nebulizer, with compressor |
570 |
568 |
$5K |
| K0004 |
High strength, lightweight wheelchair |
108 |
106 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
140 |
136 |
$363.68 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
229 |
220 |
$260.53 |
| A7037 |
Tubing used with positive airway pressure device |
147 |
140 |
$228.01 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$157.05 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
12 |
12 |
$101.43 |