| 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 |
5,155 |
4,920 |
$480K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,881 |
1,650 |
$79K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,409 |
2,229 |
$59K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,679 |
3,486 |
$57K |
| E1392 |
Portable oxygen concentrator, rental |
1,241 |
1,190 |
$36K |
| E0570 |
Nebulizer, with compressor |
1,451 |
1,350 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
355 |
275 |
$27K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
560 |
530 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
446 |
422 |
$22K |
| K0001 |
Standard wheelchair |
1,273 |
1,115 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
404 |
376 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
72 |
71 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
315 |
291 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
891 |
759 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
131 |
119 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
31 |
27 |
$367.15 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$315.17 |