| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,679 |
3,152 |
$190K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,806 |
2,254 |
$141K |
| E0570 |
Nebulizer, with compressor |
3,078 |
2,456 |
$58K |
| K0001 |
Standard wheelchair |
2,898 |
2,447 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
457 |
381 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
631 |
509 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,540 |
2,025 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
764 |
639 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
881 |
745 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
340 |
289 |
$13K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
800 |
594 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
386 |
323 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,781 |
1,330 |
$9K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
439 |
358 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
667 |
500 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,012 |
897 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,503 |
1,280 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
186 |
153 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$607.41 |