| 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 |
20,212 |
19,432 |
$1.57M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,791 |
15,212 |
$205K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,581 |
2,125 |
$179K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,616 |
1,597 |
$116K |
| K0001 |
Standard wheelchair |
4,080 |
3,731 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,163 |
1,711 |
$43K |
| E0570 |
Nebulizer, with compressor |
1,603 |
1,515 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
1,427 |
1,414 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
1,590 |
1,572 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
385 |
377 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,643 |
2,574 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
257 |
255 |
$12K |
| 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) |
73 |
63 |
$10K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
676 |
594 |
$6K |
| K0003 |
Lightweight wheelchair |
370 |
359 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
329 |
327 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
471 |
466 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
201 |
199 |
$5K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
205 |
199 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
965 |
954 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
88 |
86 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
141 |
137 |
$3K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
57 |
53 |
$464.28 |
| E0156 |
Seat attachment, walker |
16 |
15 |
$88.69 |