| 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 |
448 |
382 |
$21K |
| E0601 |
Continuous positive airway pressure (cpap) device |
584 |
339 |
$2K |
| E0570 |
Nebulizer, with compressor |
248 |
211 |
$2K |
| K0001 |
Standard wheelchair |
179 |
157 |
$578.29 |
| 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 |
259 |
208 |
$462.39 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
20 |
12 |
$92.44 |