| 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 |
4,580 |
3,880 |
$152K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,292 |
1,201 |
$59K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,812 |
3,407 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
375 |
369 |
$24K |
| E0570 |
Nebulizer, with compressor |
889 |
821 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,528 |
1,444 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
440 |
410 |
$14K |
| K0001 |
Standard wheelchair |
1,120 |
951 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
168 |
167 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
361 |
354 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
226 |
216 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
276 |
270 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
228 |
222 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
294 |
279 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
61 |
59 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
522 |
501 |
$848.48 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
88 |
88 |
$740.43 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
112 |
107 |
$163.79 |