| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,086 |
1,876 |
$90K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,268 |
2,037 |
$58K |
| 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) |
195 |
193 |
$24K |
| E0601 |
Continuous positive airway pressure (cpap) device |
861 |
833 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
791 |
768 |
$23K |
| K0001 |
Standard wheelchair |
609 |
554 |
$4K |
| E0570 |
Nebulizer, with compressor |
1,058 |
963 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
501 |
425 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
61 |
53 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
209 |
194 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
13 |
12 |
$337.22 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$123.53 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
168 |
153 |
$93.47 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
13 |
12 |
$39.04 |
| A7037 |
Tubing used with positive airway pressure device |
168 |
153 |
$26.66 |
| A7015 |
Aerosol mask, used with dme nebulizer |
26 |
26 |
$4.38 |
| A7035 |
Headgear used with positive airway pressure device |
42 |
39 |
$2.93 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
27 |
26 |
$0.00 |