| 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 |
3,308 |
2,487 |
$144K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,573 |
1,130 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,237 |
1,724 |
$22K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,123 |
748 |
$20K |
| K0001 |
Standard wheelchair |
1,634 |
1,077 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
694 |
446 |
$13K |
| E0570 |
Nebulizer, with compressor |
1,178 |
897 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
539 |
373 |
$8K |
| K0003 |
Lightweight wheelchair |
287 |
187 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
319 |
184 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
215 |
156 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
745 |
505 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
78 |
58 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
274 |
199 |
$845.02 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
14 |
12 |
$317.41 |