| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
1,240 |
740 |
$297K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,720 |
13,596 |
$287K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,011 |
4,947 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
4,300 |
3,737 |
$27K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,602 |
1,403 |
$22K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
299 |
145 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
462 |
338 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
948 |
689 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
607 |
451 |
$8K |
| K0001 |
Standard wheelchair |
1,363 |
1,153 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
966 |
705 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,531 |
1,815 |
$5K |
| E0570 |
Nebulizer, with compressor |
608 |
507 |
$4K |
| A7000 |
Canister, disposable, used with suction pump, each |
249 |
118 |
$3K |
| 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 |
311 |
252 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
109 |
81 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
195 |
134 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
317 |
234 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
48 |
41 |
$866.72 |
| A7037 |
Tubing used with positive airway pressure device |
69 |
50 |
$381.82 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
30 |
24 |
$308.52 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
12 |
$257.40 |