| 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 |
3,097 |
2,278 |
$131K |
| E0570 |
Nebulizer, with compressor |
1,938 |
1,360 |
$80K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,111 |
687 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,258 |
1,666 |
$20K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,196 |
805 |
$15K |
| K0003 |
Lightweight wheelchair |
779 |
610 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
16 |
12 |
$696.66 |
| A7037 |
Tubing used with positive airway pressure device |
96 |
67 |
$538.90 |
| K0001 |
Standard wheelchair |
83 |
73 |
$277.66 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
12 |
$41.31 |
| A7015 |
Aerosol mask, used with dme nebulizer |
315 |
180 |
$26.82 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$20.14 |