| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
2,392 |
2,242 |
$77K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,318 |
2,137 |
$69K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,916 |
1,756 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
356 |
336 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
615 |
534 |
$3K |
| K0001 |
Standard wheelchair |
759 |
705 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$32.63 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
12 |
$31.94 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
12 |
12 |
$0.00 |