| 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 |
9,633 |
7,968 |
$434K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,671 |
3,374 |
$178K |
| 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 |
3,251 |
2,845 |
$71K |
| E0570 |
Nebulizer, with compressor |
2,707 |
2,377 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,596 |
1,470 |
$67K |
| 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) |
605 |
572 |
$54K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,398 |
1,211 |
$53K |
| E1392 |
Portable oxygen concentrator, rental |
3,436 |
2,874 |
$52K |
| K0001 |
Standard wheelchair |
1,413 |
1,275 |
$34K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
255 |
211 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
260 |
251 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
373 |
339 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
55 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
137 |
134 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
27 |
24 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
32 |
24 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
463 |
430 |
$211.02 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14 |
13 |
$39.53 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
340 |
302 |
$34.87 |