| 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 |
1,724 |
1,330 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,060 |
912 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,299 |
1,082 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
242 |
213 |
$5K |
| K0001 |
Standard wheelchair |
988 |
738 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
376 |
275 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
265 |
224 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
279 |
196 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
603 |
523 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
25 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
35 |
26 |
$486.08 |
| E0570 |
Nebulizer, with compressor |
21 |
15 |
$283.09 |
| A7035 |
Headgear used with positive airway pressure device |
29 |
24 |
$250.72 |