| 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 |
3,365 |
3,073 |
$102K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,026 |
999 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,327 |
2,104 |
$22K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
637 |
586 |
$18K |
| K0001 |
Standard wheelchair |
621 |
571 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
146 |
142 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
64 |
63 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
268 |
258 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
161 |
147 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
120 |
115 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
563 |
262 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
630 |
571 |
$898.90 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
487 |
226 |
$792.70 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
40 |
38 |
$624.02 |
| A7037 |
Tubing used with positive airway pressure device |
87 |
83 |
$621.52 |
| E0570 |
Nebulizer, with compressor |
69 |
62 |
$568.51 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
333 |
155 |
$260.00 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
204 |
189 |
$221.20 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
366 |
174 |
$189.88 |