| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,769 |
7,323 |
$668K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
453 |
428 |
$274K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,287 |
3,085 |
$221K |
| K0001 |
Standard wheelchair |
2,759 |
2,691 |
$91K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,175 |
1,139 |
$78K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,997 |
2,793 |
$77K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
614 |
583 |
$52K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,767 |
2,595 |
$48K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
728 |
693 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
1,329 |
1,280 |
$30K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,829 |
1,771 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
976 |
938 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,009 |
979 |
$14K |
| 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) |
83 |
80 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
282 |
277 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
197 |
195 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
251 |
239 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
383 |
372 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
43 |
38 |
$2K |
| E0156 |
Seat attachment, walker |
13 |
13 |
$68.87 |