| 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 |
3,256 |
2,394 |
$148K |
| E0601 |
Continuous positive airway pressure (cpap) device |
555 |
444 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,305 |
1,039 |
$11K |
| E0570 |
Nebulizer, with compressor |
332 |
256 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
545 |
436 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
26 |
24 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
110 |
100 |
$1K |
| K0001 |
Standard wheelchair |
64 |
36 |
$959.96 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
381 |
334 |
$617.22 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
404 |
371 |
$466.28 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
36 |
28 |
$187.62 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
59 |
52 |
$14.75 |