| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,108 |
1,916 |
$93K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
762 |
638 |
$56K |
| K0001 |
Standard wheelchair |
1,691 |
1,332 |
$38K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,078 |
800 |
$35K |
| E0570 |
Nebulizer, with compressor |
912 |
715 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,528 |
1,468 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
246 |
200 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$724.44 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
12 |
$415.94 |
| E0156 |
Seat attachment, walker |
12 |
12 |
$132.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
13 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
13 |
$0.00 |