| 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 |
2,825 |
2,271 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
881 |
745 |
$26K |
| E0570 |
Nebulizer, with compressor |
833 |
706 |
$9K |
| 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 |
898 |
742 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
559 |
381 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
733 |
616 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
499 |
445 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
116 |
103 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
237 |
189 |
$3K |
| K0001 |
Standard wheelchair |
447 |
344 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
323 |
265 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
80 |
67 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
498 |
400 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
64 |
50 |
$954.02 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
19 |
14 |
$509.14 |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
13 |
$185.61 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
119 |
105 |
$116.71 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
12 |
$3.64 |