| 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 |
11,189 |
11,167 |
$902K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,515 |
3,491 |
$255K |
| 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 |
6,845 |
6,831 |
$145K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
626 |
626 |
$98K |
| K0001 |
Standard wheelchair |
2,638 |
2,633 |
$78K |
| E0570 |
Nebulizer, with compressor |
3,560 |
3,548 |
$63K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
564 |
564 |
$57K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,031 |
1,031 |
$49K |
| 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) |
196 |
196 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,738 |
1,738 |
$45K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,183 |
1,173 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,105 |
5,102 |
$35K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,049 |
1,046 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,854 |
1,852 |
$29K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,088 |
1,088 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
661 |
661 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
490 |
483 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
454 |
453 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,012 |
1,010 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
429 |
428 |
$7K |
| E0310 |
Bed side rails, full length |
289 |
289 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
424 |
424 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
192 |
192 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
111 |
111 |
$2K |
| E0271 |
Mattress, innerspring |
78 |
77 |
$1K |
| E0245 |
Tub stool or bench |
13 |
13 |
$715.91 |
| A7036 |
Chinstrap used with positive airway pressure device |
54 |
54 |
$476.79 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
38 |
38 |
$277.61 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$179.24 |