| 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 |
18,458 |
18,339 |
$1.48M |
| E0570 |
Nebulizer, with compressor |
4,295 |
4,287 |
$144K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,255 |
8,185 |
$126K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
362 |
359 |
$108K |
| E0601 |
Continuous positive airway pressure (cpap) device |
838 |
821 |
$43K |
| K0001 |
Standard wheelchair |
1,131 |
1,124 |
$28K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
313 |
313 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
200 |
199 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
377 |
375 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
201 |
198 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
838 |
835 |
$6K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
31 |
31 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
381 |
380 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,421 |
1,413 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
174 |
174 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
346 |
346 |
$510.95 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$437.57 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
216 |
216 |
$370.19 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
26 |
25 |
$94.14 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
192 |
192 |
$19.89 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
12 |
12 |
$13.54 |