| 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 |
5,560 |
5,297 |
$243K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,756 |
2,603 |
$131K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,279 |
1,273 |
$65K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
288 |
286 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,082 |
2,972 |
$36K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,183 |
1,175 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
1,405 |
1,397 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,421 |
3,403 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
1,230 |
1,226 |
$19K |
| K0001 |
Standard wheelchair |
746 |
741 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,060 |
1,028 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
333 |
333 |
$9K |
| 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 |
253 |
237 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
364 |
356 |
$7K |
| 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) |
46 |
40 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
573 |
553 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
825 |
822 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
42 |
42 |
$1K |
| E0156 |
Seat attachment, walker |
25 |
25 |
$192.11 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
61 |
61 |
$42.49 |