| 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 |
5,024 |
4,193 |
$183K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,622 |
1,366 |
$48K |
| A7030 |
Full face mask used with positive airway pressure device, each |
969 |
899 |
$47K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,957 |
1,528 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,447 |
1,304 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,323 |
1,246 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,307 |
2,799 |
$26K |
| K0001 |
Standard wheelchair |
1,617 |
1,246 |
$17K |
| E0570 |
Nebulizer, with compressor |
883 |
801 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
900 |
753 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
845 |
798 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
206 |
184 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,498 |
2,103 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
551 |
521 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
59 |
55 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
76 |
69 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
55 |
51 |
$991.87 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
154 |
125 |
$613.95 |
| K0003 |
Lightweight wheelchair |
48 |
39 |
$476.98 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$269.47 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
12 |
$140.54 |