| 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 |
5,875 |
5,454 |
$261K |
| E0570 |
Nebulizer, with compressor |
6,669 |
5,827 |
$133K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,627 |
2,381 |
$118K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,100 |
3,746 |
$97K |
| 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) |
959 |
862 |
$57K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,421 |
1,353 |
$45K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,916 |
1,815 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,954 |
4,616 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
2,058 |
1,793 |
$31K |
| K0001 |
Standard wheelchair |
3,342 |
3,201 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
2,889 |
2,597 |
$30K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
941 |
862 |
$24K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,163 |
1,702 |
$23K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
652 |
611 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
877 |
770 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
315 |
284 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,019 |
1,865 |
$9K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
394 |
315 |
$6K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
186 |
173 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
497 |
453 |
$3K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
127 |
91 |
$3K |
| E1160 |
Wheelchair, fixed full length arms, swing away detachable elevating legrests |
52 |
51 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
546 |
452 |
$2K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
16 |
14 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
34 |
26 |
$644.96 |
| E1392 |
Portable oxygen concentrator, rental |
96 |
95 |
$625.68 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
17 |
13 |
$335.45 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
13 |
12 |
$267.81 |