| 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 |
6,769 |
4,984 |
$179K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,573 |
3,394 |
$69K |
| E0601 |
Continuous positive airway pressure (cpap) device |
433 |
378 |
$17K |
| E0570 |
Nebulizer, with compressor |
687 |
558 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
264 |
187 |
$189.35 |
| K0001 |
Standard wheelchair |
14 |
12 |
$145.53 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
75 |
54 |
$144.25 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
42 |
38 |
$143.64 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
13 |
$22.03 |