| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,362 |
1,350 |
$274K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,664 |
2,641 |
$192K |
| E0570 |
Nebulizer, with compressor |
2,505 |
2,477 |
$68K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,210 |
1,204 |
$54K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,613 |
1,604 |
$24K |
| K0001 |
Standard wheelchair |
160 |
159 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
174 |
171 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
157 |
156 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
24 |
24 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
153 |
151 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
174 |
173 |
$564.38 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$383.61 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
96 |
95 |
$194.74 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
41 |
41 |
$139.48 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
131 |
129 |
$66.41 |