| 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 |
7,950 |
7,509 |
$276K |
| E0570 |
Nebulizer, with compressor |
4,479 |
4,183 |
$265K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,768 |
4,513 |
$40K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,580 |
1,509 |
$33K |
| E0601 |
Continuous positive airway pressure (cpap) device |
895 |
858 |
$25K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,920 |
1,864 |
$20K |
| K0001 |
Standard wheelchair |
2,309 |
2,198 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
897 |
865 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
141 |
129 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
546 |
495 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
172 |
164 |
$329.61 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
26 |
24 |
$116.39 |