| 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 |
5,401 |
4,028 |
$251K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,343 |
1,682 |
$62K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,883 |
2,992 |
$40K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,218 |
809 |
$29K |
| E0570 |
Nebulizer, with compressor |
2,907 |
2,155 |
$24K |
| K0001 |
Standard wheelchair |
1,854 |
1,295 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,060 |
709 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,029 |
761 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
246 |
183 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,164 |
892 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
90 |
64 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
292 |
219 |
$3K |
| K0003 |
Lightweight wheelchair |
87 |
67 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
76 |
63 |
$2K |
| 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 |
26 |
24 |
$636.41 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
159 |
98 |
$447.87 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
79 |
59 |
$319.70 |