| 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 |
5,456 |
5,391 |
$120K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,997 |
2,917 |
$26K |
| K0001 |
Standard wheelchair |
2,315 |
2,295 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,040 |
1,036 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,227 |
1,202 |
$9K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
295 |
293 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
194 |
191 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
152 |
150 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
202 |
202 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
127 |
126 |
$779.25 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
49 |
49 |
$611.70 |
| A7035 |
Headgear used with positive airway pressure device |
87 |
86 |
$467.04 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
38 |
38 |
$435.98 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
149 |
145 |
$412.67 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
26 |
$351.79 |
| 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) |
13 |
13 |
$255.91 |
| E0570 |
Nebulizer, with compressor |
139 |
139 |
$192.15 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
12 |
12 |
$118.34 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
12 |
12 |
$69.72 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
13 |
$40.43 |