| 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 |
3,903 |
3,870 |
$337K |
| E0570 |
Nebulizer, with compressor |
3,782 |
3,758 |
$279K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
1,322 |
1,307 |
$187K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
653 |
637 |
$168K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,381 |
4,337 |
$83K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,182 |
1,174 |
$58K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,291 |
1,256 |
$48K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,529 |
2,517 |
$39K |
| K0001 |
Standard wheelchair |
1,608 |
1,576 |
$38K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,868 |
2,822 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,415 |
1,409 |
$14K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,131 |
3,054 |
$6K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
428 |
425 |
$5K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
53 |
51 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
106 |
94 |
$2K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
19 |
14 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
26 |
26 |
$690.21 |
| A7035 |
Headgear used with positive airway pressure device |
27 |
26 |
$680.13 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
38 |
38 |
$620.64 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
96 |
95 |
$601.42 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
954 |
950 |
$553.87 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
12 |
12 |
$424.92 |
| K0003 |
Lightweight wheelchair |
12 |
12 |
$324.47 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
29 |
27 |
$285.83 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
24 |
24 |
$208.69 |