| 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 |
648 |
540 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
528 |
473 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
418 |
361 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
503 |
395 |
$7K |
| E0570 |
Nebulizer, with compressor |
143 |
132 |
$2K |
| K0001 |
Standard wheelchair |
465 |
461 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
111 |
99 |
$306.31 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
13 |
$221.24 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
27 |
25 |
$98.29 |