| 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 |
13,798 |
11,359 |
$916K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
769 |
634 |
$272K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,008 |
3,693 |
$221K |
| 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) |
592 |
545 |
$85K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,262 |
9,343 |
$56K |
| K0001 |
Standard wheelchair |
4,485 |
3,423 |
$46K |
| E0570 |
Nebulizer, with compressor |
3,785 |
3,083 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,100 |
908 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,831 |
3,580 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
572 |
448 |
$9K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,000 |
731 |
$6K |
| K0003 |
Lightweight wheelchair |
296 |
243 |
$6K |
| E1399 |
Durable medical equipment, miscellaneous |
336 |
308 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
583 |
474 |
$2K |
| E0156 |
Seat attachment, walker |
207 |
168 |
$534.56 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
318 |
221 |
$325.28 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
31 |
24 |
$25.41 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
401 |
303 |
$20.27 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
56 |
49 |
$7.94 |
| A7037 |
Tubing used with positive airway pressure device |
210 |
173 |
$6.98 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
16 |
12 |
$2.91 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
16 |
13 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
109 |
86 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
12 |
$0.00 |