| 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 |
13,743 |
10,861 |
$506K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,098 |
2,534 |
$109K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,542 |
8,332 |
$48K |
| K0001 |
Standard wheelchair |
4,588 |
3,487 |
$24K |
| E0570 |
Nebulizer, with compressor |
3,023 |
2,494 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
558 |
462 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,865 |
2,345 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
1,261 |
1,006 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
614 |
475 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
108 |
83 |
$735.33 |
| A7030 |
Full face mask used with positive airway pressure device, each |
259 |
199 |
$583.46 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
84 |
63 |
$398.91 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
17 |
13 |
$205.03 |
| A7037 |
Tubing used with positive airway pressure device |
488 |
378 |
$177.43 |
| E0156 |
Seat attachment, walker |
69 |
55 |
$162.92 |
| A7031 |
Face mask interface, replacement for full face mask, each |
168 |
123 |
$53.55 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
620 |
449 |
$37.67 |
| A7035 |
Headgear used with positive airway pressure device |
235 |
186 |
$27.24 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
73 |
58 |
$11.07 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
14 |
12 |
$10.65 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
60 |
40 |
$7.94 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
19 |
12 |
$0.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
12 |
$0.00 |