| 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 |
8,329 |
8,244 |
$518K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,164 |
1,155 |
$337K |
| K0001 |
Standard wheelchair |
3,353 |
3,314 |
$111K |
| 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 |
3,046 |
3,032 |
$66K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,168 |
1,158 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,827 |
2,782 |
$41K |
| E0570 |
Nebulizer, with compressor |
1,013 |
1,012 |
$20K |
| E0601 |
Continuous positive airway pressure (cpap) device |
305 |
303 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
561 |
556 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
965 |
961 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
178 |
173 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
172 |
172 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
27 |
$1K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
13 |
13 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
67 |
67 |
$619.93 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$356.04 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$194.52 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
24 |
24 |
$171.61 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
24 |
24 |
$126.02 |