| 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 |
1,760 |
1,637 |
$58K |
| K0001 |
Standard wheelchair |
578 |
569 |
$25K |
| 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) |
157 |
154 |
$23K |
| E0277 |
Powered pressure-reducing air mattress |
13 |
13 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
312 |
295 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
565 |
519 |
$8K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
86 |
85 |
$7K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
15 |
15 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
736 |
681 |
$6K |
| K0007 |
Extra heavy duty wheelchair |
26 |
26 |
$3K |
| K0003 |
Lightweight wheelchair |
42 |
42 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
99 |
94 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
33 |
33 |
$2K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
15 |
13 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
78 |
78 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
94 |
88 |
$1K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
43 |
35 |
$1K |
| E0570 |
Nebulizer, with compressor |
132 |
123 |
$420.66 |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
28 |
24 |
$318.30 |