| 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 |
6,075 |
5,685 |
$130K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
80 |
67 |
$35K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,339 |
2,165 |
$28K |
| K0001 |
Standard wheelchair |
3,004 |
2,791 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,516 |
3,333 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
509 |
452 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,870 |
1,759 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
54 |
42 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
79 |
72 |
$158.92 |