| 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 |
7,788 |
5,728 |
$245K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,395 |
4,449 |
$143K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,420 |
883 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,373 |
2,701 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
891 |
715 |
$16K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
499 |
371 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
957 |
851 |
$14K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
448 |
332 |
$11K |
| K0003 |
Lightweight wheelchair |
1,207 |
1,055 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
241 |
227 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
377 |
315 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
716 |
642 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,165 |
1,034 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
1,089 |
981 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
897 |
803 |
$1K |
| K0001 |
Standard wheelchair |
428 |
345 |
$1K |
| E0570 |
Nebulizer, with compressor |
475 |
397 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
43 |
24 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
1,680 |
1,504 |
$760.82 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,603 |
2,313 |
$355.81 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$262.13 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
30 |
26 |
$182.70 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
574 |
520 |
$104.01 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
12 |
$14.06 |