| 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 |
7,924 |
6,333 |
$179K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,076 |
2,486 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,839 |
2,989 |
$58K |
| K0001 |
Standard wheelchair |
6,091 |
4,706 |
$41K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,272 |
981 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,303 |
5,092 |
$30K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,073 |
1,016 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,641 |
1,278 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
740 |
624 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
764 |
618 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
2,247 |
1,706 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
1,415 |
1,052 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,235 |
1,059 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
312 |
215 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,980 |
2,296 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
952 |
704 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
791 |
614 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
123 |
87 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
301 |
227 |
$991.25 |
| E1353 |
Regulator |
53 |
49 |
$0.50 |