| 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 |
6,796 |
6,078 |
$251K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
58 |
39 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,682 |
1,510 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,089 |
3,639 |
$39K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,437 |
1,321 |
$37K |
| E0570 |
Nebulizer, with compressor |
2,338 |
2,111 |
$37K |
| K0001 |
Standard wheelchair |
1,354 |
1,241 |
$14K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,647 |
1,281 |
$12K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
328 |
309 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
209 |
197 |
$7K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
14 |
12 |
$5K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
75 |
43 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
160 |
153 |
$2K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
18 |
12 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
289 |
259 |
$832.44 |
| E1392 |
Portable oxygen concentrator, rental |
87 |
75 |
$789.18 |
| A7035 |
Headgear used with positive airway pressure device |
68 |
65 |
$669.27 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
109 |
93 |
$458.33 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$384.05 |
| A7015 |
Aerosol mask, used with dme nebulizer |
199 |
169 |
$198.41 |