| 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 |
1,234 |
1,159 |
$27K |
| E0601 |
Continuous positive airway pressure (cpap) device |
995 |
912 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
106 |
103 |
$639.07 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
89 |
79 |
$261.63 |
| A7037 |
Tubing used with positive airway pressure device |
176 |
159 |
$178.30 |
| K0001 |
Standard wheelchair |
26 |
24 |
$146.60 |
| A7035 |
Headgear used with positive airway pressure device |
27 |
24 |
$68.02 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
42 |
38 |
$37.65 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$0.00 |