| 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 |
5,554 |
5,300 |
$449K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,969 |
1,887 |
$97K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
519 |
517 |
$79K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,069 |
1,041 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,383 |
4,190 |
$62K |
| K0001 |
Standard wheelchair |
2,520 |
2,378 |
$57K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,147 |
978 |
$49K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,181 |
2,090 |
$40K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
210 |
201 |
$32K |
| E0570 |
Nebulizer, with compressor |
1,410 |
1,383 |
$28K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
263 |
253 |
$18K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
777 |
732 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
156 |
147 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
333 |
322 |
$7K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
14 |
12 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
66 |
65 |
$1K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
175 |
172 |
$864.26 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
55 |
52 |
$88.01 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
17 |
13 |
$64.35 |