| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,654 |
1,446 |
$98K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
662 |
587 |
$58K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
204 |
148 |
$48K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
498 |
487 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
610 |
578 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
205 |
189 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
470 |
436 |
$16K |
| E0570 |
Nebulizer, with compressor |
461 |
434 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
429 |
400 |
$8K |
| K0001 |
Standard wheelchair |
620 |
569 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,444 |
1,344 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
30 |
25 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
101 |
97 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
99 |
86 |
$676.23 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
39 |
37 |
$135.59 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$42.26 |