| 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 |
823 |
724 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
634 |
551 |
$16K |
| 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 |
421 |
357 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
394 |
318 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
139 |
120 |
$312.47 |
| A7035 |
Headgear used with positive airway pressure device |
28 |
25 |
$286.27 |
| K0001 |
Standard wheelchair |
14 |
12 |
$277.69 |