| 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 |
2,199 |
2,013 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
552 |
533 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,130 |
1,062 |
$15K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
175 |
166 |
$6K |
| E0570 |
Nebulizer, with compressor |
485 |
454 |
$5K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
97 |
96 |
$4K |
| K0001 |
Standard wheelchair |
158 |
143 |
$4K |
| 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 |
219 |
218 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
186 |
175 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
247 |
228 |
$837.20 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$560.67 |
| A7035 |
Headgear used with positive airway pressure device |
44 |
44 |
$489.54 |