| 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 |
4,142 |
4,121 |
$257K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,445 |
1,441 |
$56K |
| E0570 |
Nebulizer, with compressor |
1,362 |
1,354 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,469 |
2,447 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
768 |
768 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
104 |
104 |
$6K |
| K0001 |
Standard wheelchair |
299 |
298 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
119 |
118 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
125 |
123 |
$2K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
44 |
43 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
170 |
169 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
42 |
42 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
307 |
305 |
$241.47 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
14 |
13 |
$151.20 |