| 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 |
2,566 |
2,167 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
990 |
897 |
$21K |
| K0001 |
Standard wheelchair |
1,727 |
1,347 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
742 |
566 |
$10K |
| E0570 |
Nebulizer, with compressor |
763 |
675 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
244 |
204 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
354 |
300 |
$738.76 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
344 |
308 |
$620.53 |
| 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 |
308 |
290 |
$570.28 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
39 |
37 |
$161.51 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
62 |
49 |
$93.41 |
| E0156 |
Seat attachment, walker |
32 |
28 |
$11.88 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
12 |
$8.59 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
168 |
157 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
232 |
215 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
41 |
38 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
25 |
25 |
$0.00 |