| 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 |
4,431 |
4,272 |
$345K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,906 |
3,768 |
$63K |
| E0570 |
Nebulizer, with compressor |
2,335 |
2,302 |
$62K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
648 |
646 |
$19K |
| K0001 |
Standard wheelchair |
812 |
784 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
255 |
250 |
$10K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
191 |
191 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
72 |
70 |
$2K |
| E0156 |
Seat attachment, walker |
298 |
295 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,200 |
1,160 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
213 |
206 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
170 |
159 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
989 |
962 |
$994.69 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
16 |
$367.54 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
22 |
21 |
$365.17 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
13 |
$336.96 |
| E1392 |
Portable oxygen concentrator, rental |
14 |
14 |
$329.50 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
16 |
16 |
$45.54 |