| 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 |
547 |
525 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
620 |
552 |
$20K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
939 |
487 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
375 |
351 |
$11K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
632 |
313 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
341 |
333 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
356 |
340 |
$4K |
| K0003 |
Lightweight wheelchair |
74 |
63 |
$4K |
| E0570 |
Nebulizer, with compressor |
54 |
52 |
$3K |
| K0001 |
Standard wheelchair |
90 |
80 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
17 |
15 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
28 |
24 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
89 |
78 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$469.01 |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
15 |
12 |
$431.39 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$174.68 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
13 |
$142.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$19.34 |