| 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 |
16,549 |
13,100 |
$1.28M |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,709 |
4,757 |
$314K |
| E0570 |
Nebulizer, with compressor |
7,313 |
5,531 |
$288K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,043 |
1,841 |
$218K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,080 |
11,056 |
$177K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,819 |
2,036 |
$128K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,061 |
1,724 |
$98K |
| K0003 |
Lightweight wheelchair |
1,229 |
913 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
2,170 |
1,949 |
$45K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,124 |
1,027 |
$39K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
197 |
187 |
$36K |
| K0001 |
Standard wheelchair |
1,751 |
1,206 |
$29K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,679 |
1,468 |
$29K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
657 |
551 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
851 |
778 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
649 |
543 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
1,083 |
885 |
$25K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
428 |
387 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,584 |
3,179 |
$17K |
| 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) |
102 |
91 |
$11K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
734 |
546 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,902 |
2,508 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
481 |
397 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,368 |
1,183 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
33 |
26 |
$1K |
| E0156 |
Seat attachment, walker |
14 |
12 |
$155.64 |