| 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 |
8,235 |
6,766 |
$157K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,165 |
932 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,827 |
4,044 |
$20K |
| K0001 |
Standard wheelchair |
1,995 |
1,570 |
$10K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
630 |
512 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
782 |
625 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
276 |
235 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
92 |
80 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,518 |
1,259 |
$3K |
| K0003 |
Lightweight wheelchair |
186 |
161 |
$3K |
| E0570 |
Nebulizer, with compressor |
1,010 |
863 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
106 |
91 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
179 |
158 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
69 |
58 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
233 |
193 |
$549.25 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$357.42 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
30 |
26 |
$150.16 |
| A7037 |
Tubing used with positive airway pressure device |
30 |
24 |
$146.51 |