| 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 |
3,011 |
2,977 |
$261K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,113 |
2,095 |
$104K |
| E0570 |
Nebulizer, with compressor |
953 |
951 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,394 |
2,375 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
979 |
947 |
$20K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
131 |
131 |
$19K |
| K0003 |
Lightweight wheelchair |
370 |
366 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
860 |
798 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
247 |
246 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
215 |
215 |
$4K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
63 |
54 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
29 |
28 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
84 |
84 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
91 |
82 |
$1K |
| A4259 |
Lancets, per box of 100 |
14 |
13 |
$85.89 |
| E0184 |
Dry pressure mattress |
12 |
12 |
$73.05 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
15 |
$22.05 |