| 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 |
6,387 |
5,974 |
$348K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,387 |
4,139 |
$172K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
540 |
533 |
$68K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,522 |
5,219 |
$63K |
| A7030 |
Full face mask used with positive airway pressure device, each |
600 |
560 |
$53K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,539 |
1,465 |
$49K |
| E0570 |
Nebulizer, with compressor |
5,056 |
4,695 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,888 |
3,623 |
$35K |
| K0001 |
Standard wheelchair |
1,376 |
1,254 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
721 |
679 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
928 |
862 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
939 |
898 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
64 |
53 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
82 |
74 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
135 |
127 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
276 |
245 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
59 |
51 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
480 |
452 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
56 |
53 |
$841.77 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
157 |
125 |
$504.87 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
77 |
69 |
$376.83 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
188 |
91 |
$370.46 |