| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
556 |
381 |
$84K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,641 |
1,405 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,328 |
1,103 |
$34K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
31 |
27 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
677 |
568 |
$9K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
64 |
55 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
132 |
107 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
83 |
83 |
$2K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
97 |
89 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
369 |
288 |
$2K |
| K0040 |
Adjustable angle footplate, each |
89 |
81 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
78 |
66 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
38 |
36 |
$936.74 |
| E0570 |
Nebulizer, with compressor |
39 |
38 |
$850.63 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
14 |
13 |
$126.90 |
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
30 |
27 |
$71.65 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
52 |
37 |
$65.55 |
| A7031 |
Face mask interface, replacement for full face mask, each |
21 |
14 |
$61.81 |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
32 |
29 |
$0.00 |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
30 |
27 |
$0.00 |
| E2311 |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
32 |
28 |
$0.00 |