| 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 |
5,200 |
3,850 |
$75K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,205 |
1,600 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,475 |
1,800 |
$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 |
2,600 |
1,878 |
$13K |
| E0570 |
Nebulizer, with compressor |
1,928 |
1,164 |
$7K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
260 |
208 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
374 |
196 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
951 |
794 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
548 |
303 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
74 |
39 |
$650.32 |
| A7035 |
Headgear used with positive airway pressure device |
73 |
41 |
$451.51 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
134 |
72 |
$181.92 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
20 |
12 |
$49.36 |
| K0001 |
Standard wheelchair |
619 |
495 |
$0.00 |