| 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 |
1,824 |
1,769 |
$188K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,597 |
1,569 |
$106K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,415 |
1,379 |
$28K |
| E0570 |
Nebulizer, with compressor |
617 |
602 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,691 |
1,656 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
400 |
399 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
102 |
100 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
301 |
300 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
185 |
184 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
592 |
586 |
$3K |
| K0001 |
Standard wheelchair |
183 |
183 |
$3K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
14 |
14 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
286 |
283 |
$903.92 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
14 |
$882.11 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
85 |
84 |
$579.04 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
12 |
$475.92 |