| 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 |
9,121 |
6,261 |
$129K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,090 |
6,639 |
$102K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
6,475 |
4,019 |
$60K |
| K0001 |
Standard wheelchair |
8,629 |
5,685 |
$49K |
| 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) |
1,372 |
1,029 |
$38K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,769 |
1,147 |
$21K |
| K0003 |
Lightweight wheelchair |
2,266 |
1,358 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,555 |
2,481 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,371 |
2,953 |
$13K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,546 |
962 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,390 |
2,017 |
$11K |
| E0570 |
Nebulizer, with compressor |
5,814 |
3,648 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,122 |
4,890 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,746 |
1,932 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
3,722 |
2,500 |
$8K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
474 |
307 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
4,311 |
2,959 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
351 |
233 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,410 |
1,466 |
$3K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
156 |
105 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,825 |
1,955 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
2,213 |
1,390 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
4,124 |
2,884 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,248 |
795 |
$613.07 |
| E0156 |
Seat attachment, walker |
673 |
434 |
$593.41 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
747 |
468 |
$578.95 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
970 |
692 |
$451.51 |
| E0310 |
Bed side rails, full length |
418 |
271 |
$343.70 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,086 |
707 |
$271.52 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
3,942 |
3,794 |
$98.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
70 |
44 |
$93.51 |
| A7015 |
Aerosol mask, used with dme nebulizer |
46 |
29 |
$11.61 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
21 |
13 |
$1.47 |