| 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 |
1,814 |
1,378 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
415 |
336 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
965 |
767 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
46 |
38 |
$2K |
| E0570 |
Nebulizer, with compressor |
52 |
49 |
$1K |
| K0001 |
Standard wheelchair |
158 |
134 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
36 |
30 |
$919.16 |
| A7035 |
Headgear used with positive airway pressure device |
33 |
27 |
$385.31 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
90 |
74 |
$246.56 |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
12 |
$244.72 |