| 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 |
3,294 |
3,019 |
$121K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,650 |
2,493 |
$30K |
| E0570 |
Nebulizer, with compressor |
1,280 |
1,058 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
456 |
424 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
313 |
262 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
276 |
245 |
$7K |
| K0001 |
Standard wheelchair |
649 |
566 |
$6K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
191 |
182 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
549 |
491 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
47 |
42 |
$58.06 |
| A7015 |
Aerosol mask, used with dme nebulizer |
33 |
30 |
$14.52 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
17 |
12 |
$8.61 |