| 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 |
5,346 |
5,159 |
$342K |
| E0570 |
Nebulizer, with compressor |
6,446 |
6,379 |
$168K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
289 |
266 |
$110K |
| K0001 |
Standard wheelchair |
3,163 |
3,067 |
$85K |
| K0003 |
Lightweight wheelchair |
1,633 |
1,576 |
$79K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,137 |
1,125 |
$56K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,139 |
1,127 |
$49K |
| E1392 |
Portable oxygen concentrator, rental |
2,031 |
2,011 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,823 |
1,786 |
$31K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,756 |
1,705 |
$25K |
| 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 |
910 |
858 |
$23K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
246 |
244 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
608 |
604 |
$8K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,053 |
1,135 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
618 |
615 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
229 |
229 |
$5K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
180 |
175 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
27 |
26 |
$2K |
| E0305 |
Bed side rails, half length |
118 |
118 |
$2K |
| E0272 |
Mattress, foam rubber |
92 |
92 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
318 |
312 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
108 |
108 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
12 |
12 |
$960.06 |
| E0156 |
Seat attachment, walker |
93 |
93 |
$903.32 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
48 |
41 |
$630.01 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
24 |
24 |
$437.79 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$80.61 |