| 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 |
1,871 |
1,565 |
$60K |
| E0601 |
Continuous positive airway pressure (cpap) device |
885 |
774 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,311 |
1,114 |
$9K |
| E0570 |
Nebulizer, with compressor |
214 |
170 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
973 |
857 |
$7K |
| K0001 |
Standard wheelchair |
510 |
388 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
811 |
687 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
427 |
357 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
130 |
114 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$497.87 |
| A7035 |
Headgear used with positive airway pressure device |
44 |
38 |
$439.76 |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
12 |
$311.35 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
42 |
38 |
$179.33 |