| 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 |
1,560 |
1,552 |
$106K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,154 |
1,144 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
174 |
172 |
$9K |
| E0570 |
Nebulizer, with compressor |
602 |
601 |
$6K |
| K0001 |
Standard wheelchair |
74 |
74 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$55.21 |