| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,478 |
2,370 |
$612K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,891 |
2,861 |
$110K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,213 |
3,123 |
$56K |
| K0001 |
Standard wheelchair |
3,940 |
3,869 |
$50K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,699 |
1,656 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,721 |
2,690 |
$33K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,656 |
1,620 |
$31K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
811 |
805 |
$16K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
915 |
896 |
$6K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
1,218 |
1,194 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
321 |
320 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
232 |
229 |
$5K |
| E0570 |
Nebulizer, with compressor |
2,140 |
2,111 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
405 |
399 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
151 |
151 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
677 |
677 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
24 |
24 |
$550.53 |