| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,592 |
1,145 |
$734K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,694 |
11,669 |
$617K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,038 |
9,754 |
$99K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,119 |
872 |
$27K |
| E0601 |
Continuous positive airway pressure (cpap) device |
805 |
606 |
$19K |
| K0003 |
Lightweight wheelchair |
1,294 |
920 |
$14K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
553 |
438 |
$12K |
| K0001 |
Standard wheelchair |
716 |
571 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,389 |
985 |
$6K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
629 |
426 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
236 |
198 |
$3K |
| E0570 |
Nebulizer, with compressor |
237 |
189 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
96 |
65 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
33 |
24 |
$689.08 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
327 |
233 |
$681.22 |
| A7037 |
Tubing used with positive airway pressure device |
132 |
94 |
$635.33 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
33 |
26 |
$556.16 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
348 |
249 |
$497.23 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
84 |
74 |
$416.68 |
| A7035 |
Headgear used with positive airway pressure device |
40 |
27 |
$164.79 |