| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,214 |
972 |
$23K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
586 |
407 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
344 |
328 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
116 |
87 |
$297.43 |
| K0001 |
Standard wheelchair |
52 |
39 |
$218.20 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
35 |
24 |
$186.97 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
130 |
103 |
$115.68 |
| A7035 |
Headgear used with positive airway pressure device |
68 |
52 |
$30.64 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
530 |
420 |
$21.82 |