| 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 |
5,382 |
5,286 |
$330K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,781 |
2,766 |
$156K |
| K0001 |
Standard wheelchair |
2,391 |
2,372 |
$80K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,158 |
2,141 |
$50K |
| E0570 |
Nebulizer, with compressor |
2,014 |
2,006 |
$39K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
63 |
63 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
246 |
246 |
$33K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
285 |
281 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,275 |
1,269 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
426 |
423 |
$19K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,038 |
1,023 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,130 |
1,096 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
747 |
744 |
$16K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
539 |
529 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
468 |
465 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,135 |
2,123 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
116 |
116 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
274 |
270 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
709 |
705 |
$7K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
139 |
134 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
301 |
300 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
68 |
67 |
$3K |
| E0305 |
Bed side rails, half length |
168 |
164 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
37 |
37 |
$1K |
| E0271 |
Mattress, innerspring |
65 |
65 |
$955.68 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$236.91 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$7.20 |