| 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 |
5,335 |
5,298 |
$337K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
170 |
167 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,926 |
3,891 |
$49K |
| E0570 |
Nebulizer, with compressor |
2,194 |
2,181 |
$46K |
| K0001 |
Standard wheelchair |
2,176 |
2,163 |
$39K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
764 |
759 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
243 |
243 |
$8K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
101 |
99 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
88 |
88 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
117 |
117 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
77 |
77 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
140 |
140 |
$961.16 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
12 |
12 |
$689.33 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$591.07 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
38 |
37 |
$545.78 |
| A7031 |
Face mask interface, replacement for full face mask, each |
25 |
24 |
$527.76 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
164 |
160 |
$508.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
127 |
124 |
$133.42 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
109 |
105 |
$26.61 |