| 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 |
4,449 |
3,773 |
$181K |
| E0570 |
Nebulizer, with compressor |
3,091 |
2,844 |
$54K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,485 |
1,298 |
$39K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
934 |
860 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,706 |
2,325 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
782 |
667 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
335 |
310 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
623 |
582 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
203 |
162 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
277 |
234 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
51 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,074 |
911 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
247 |
221 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
199 |
176 |
$2K |
| K0001 |
Standard wheelchair |
200 |
190 |
$135.23 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$73.84 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
29 |
15 |
$46.61 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
12 |
$36.27 |