| 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 |
2,796 |
2,442 |
$251K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,390 |
1,218 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,015 |
1,787 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
161 |
139 |
$17K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
196 |
168 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
138 |
128 |
$8K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
93 |
83 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,187 |
1,055 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
166 |
152 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
271 |
250 |
$6K |
| K0001 |
Standard wheelchair |
210 |
169 |
$5K |
| E0570 |
Nebulizer, with compressor |
95 |
89 |
$5K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
68 |
52 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
398 |
363 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
49 |
40 |
$439.45 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
181 |
81 |
$425.19 |
| A4565 |
Slings |
14 |
12 |
$67.34 |