| 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 |
3,849 |
3,804 |
$310K |
| K0001 |
Standard wheelchair |
7,612 |
7,516 |
$191K |
| E0570 |
Nebulizer, with compressor |
4,937 |
4,848 |
$183K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,532 |
1,527 |
$120K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,642 |
1,617 |
$75K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
615 |
604 |
$62K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,005 |
2,959 |
$46K |
| E0245 |
Tub stool or bench |
468 |
466 |
$27K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
522 |
512 |
$25K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,911 |
1,889 |
$24K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
253 |
241 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
402 |
402 |
$19K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
197 |
197 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
66 |
66 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
122 |
122 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
518 |
509 |
$9K |
| K0006 |
Heavy duty wheelchair |
130 |
130 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
998 |
994 |
$8K |
| K0003 |
Lightweight wheelchair |
181 |
178 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
201 |
201 |
$6K |
| E0271 |
Mattress, innerspring |
285 |
285 |
$6K |
| E0305 |
Bed side rails, half length |
323 |
323 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
164 |
164 |
$3K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
26 |
26 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,224 |
1,159 |
$2K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
116 |
116 |
$1K |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
43 |
41 |
$529.54 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
13 |
13 |
$492.55 |
| E0156 |
Seat attachment, walker |
37 |
37 |
$307.81 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
13 |
12 |
$124.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
12 |
$36.23 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$19.28 |