| 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 |
4,833 |
3,720 |
$80K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,444 |
1,194 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,394 |
2,643 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,831 |
1,461 |
$6K |
| K0001 |
Standard wheelchair |
308 |
271 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
668 |
510 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
357 |
266 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
311 |
252 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
387 |
314 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
133 |
114 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,471 |
1,110 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
291 |
233 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
322 |
143 |
$197.84 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
12 |
$5.42 |