| 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 |
14,722 |
14,681 |
$1.32M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,914 |
9,875 |
$224K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,702 |
2,696 |
$82K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,054 |
2,043 |
$49K |
| E0570 |
Nebulizer, with compressor |
1,662 |
1,648 |
$24K |
| K0003 |
Lightweight wheelchair |
787 |
785 |
$15K |
| K0001 |
Standard wheelchair |
1,279 |
1,267 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
157 |
156 |
$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) |
112 |
112 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
358 |
356 |
$4K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
160 |
160 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
597 |
591 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
150 |
149 |
$2K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
17 |
16 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
72 |
71 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
76 |
74 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
14 |
14 |
$2K |
| A7526 |
Tracheostomy tube collar/holder, each |
26 |
25 |
$1K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
14 |
14 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
27 |
26 |
$966.28 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$852.98 |
| A7000 |
Canister, disposable, used with suction pump, each |
78 |
77 |
$551.41 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
89 |
89 |
$512.26 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$361.69 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
13 |
13 |
$272.77 |
| A7002 |
Tubing, used with suction pump, each |
29 |
28 |
$171.77 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$131.92 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$103.32 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
75 |
73 |
$85.63 |