| 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 |
3,359 |
3,338 |
$241K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,999 |
2,965 |
$122K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
868 |
866 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,986 |
1,980 |
$28K |
| K0003 |
Lightweight wheelchair |
885 |
881 |
$21K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
93 |
92 |
$16K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
168 |
168 |
$16K |
| E0570 |
Nebulizer, with compressor |
452 |
452 |
$7K |
| K0001 |
Standard wheelchair |
441 |
439 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
245 |
235 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
229 |
221 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
41 |
39 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
420 |
388 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
13 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$420.70 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
14 |
$361.61 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
14 |
14 |
$209.40 |