| 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 |
2,266 |
1,827 |
$64K |
| E0601 |
Continuous positive airway pressure (cpap) device |
911 |
806 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,809 |
1,496 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
965 |
855 |
$10K |
| E0570 |
Nebulizer, with compressor |
533 |
372 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
432 |
395 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
166 |
118 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,085 |
978 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
40 |
37 |
$2K |
| K0001 |
Standard wheelchair |
67 |
50 |
$314.40 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
113 |
93 |
$309.22 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$17.49 |