| 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 |
2,254 |
1,811 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,661 |
1,313 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
139 |
117 |
$476.26 |
| K0001 |
Standard wheelchair |
51 |
45 |
$262.11 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
177 |
141 |
$64.20 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
30 |
26 |
$0.00 |