| 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 |
5,805 |
5,770 |
$101K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
357 |
355 |
$45K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,581 |
1,570 |
$20K |
| K0003 |
Lightweight wheelchair |
1,954 |
1,921 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,767 |
2,750 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
734 |
732 |
$6K |
| K0001 |
Standard wheelchair |
1,615 |
1,603 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
478 |
473 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
1,922 |
1,906 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
163 |
162 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
627 |
621 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
962 |
954 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
13 |
12 |
$21.95 |
| K0037 |
High mount flip-up footrest, each |
92 |
92 |
$8.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
12 |
$5.88 |
| K0045 |
Footrest, complete assembly, replacement only, each |
164 |
159 |
$0.00 |