| 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 |
7,080 |
6,259 |
$688K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,188 |
2,811 |
$159K |
| A7030 |
Full face mask used with positive airway pressure device, each |
891 |
820 |
$84K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,834 |
3,437 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,316 |
2,110 |
$59K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,881 |
1,711 |
$58K |
| K0001 |
Standard wheelchair |
2,053 |
1,904 |
$51K |
| E1392 |
Portable oxygen concentrator, rental |
2,199 |
1,942 |
$40K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
547 |
528 |
$39K |
| E0570 |
Nebulizer, with compressor |
2,032 |
1,827 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
1,533 |
1,403 |
$37K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
727 |
698 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
385 |
358 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,807 |
2,592 |
$17K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
382 |
358 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,042 |
966 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
216 |
202 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
568 |
507 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
178 |
149 |
$3K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
29 |
29 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
34 |
28 |
$1K |