| 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 |
17,527 |
12,588 |
$629K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,340 |
834 |
$361K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,208 |
8,967 |
$82K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,792 |
2,085 |
$76K |
| A7030 |
Full face mask used with positive airway pressure device, each |
367 |
289 |
$10K |
| K0003 |
Lightweight wheelchair |
1,176 |
802 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,556 |
1,087 |
$5K |
| K0001 |
Standard wheelchair |
689 |
514 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
748 |
544 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
327 |
238 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
677 |
490 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,884 |
1,360 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
305 |
235 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
163 |
100 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
27 |
15 |
$417.45 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
83 |
69 |
$319.84 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
176 |
128 |
$308.54 |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$226.57 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
162 |
126 |
$70.00 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
16 |
13 |
$52.55 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
34 |
25 |
$25.65 |