| 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 |
6,092 |
5,667 |
$354K |
| E0601 |
Continuous positive airway pressure (cpap) device |
692 |
647 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,914 |
1,750 |
$21K |
| K0001 |
Standard wheelchair |
799 |
737 |
$19K |
| 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 |
1,088 |
1,030 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
239 |
220 |
$13K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
64 |
61 |
$12K |
| E0570 |
Nebulizer, with compressor |
775 |
707 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
397 |
370 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
1,011 |
955 |
$8K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
492 |
475 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
576 |
549 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
263 |
247 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
119 |
119 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,023 |
954 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
30 |
26 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
28 |
28 |
$625.89 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
90 |
82 |
$536.77 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$60.97 |