| 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 |
20,196 |
18,888 |
$1.33M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,948 |
7,750 |
$333K |
| E1392 |
Portable oxygen concentrator, rental |
20,688 |
19,492 |
$236K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,204 |
2,046 |
$164K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,663 |
3,522 |
$150K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,335 |
1,255 |
$128K |
| E0570 |
Nebulizer, with compressor |
1,731 |
1,615 |
$101K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,650 |
2,543 |
$89K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,493 |
3,275 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,035 |
2,610 |
$78K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,158 |
2,043 |
$72K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,687 |
1,449 |
$56K |
| 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) |
753 |
690 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
2,833 |
2,644 |
$35K |
| K0001 |
Standard wheelchair |
2,791 |
2,625 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,138 |
6,989 |
$31K |
| K0003 |
Lightweight wheelchair |
896 |
872 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,340 |
1,245 |
$17K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
444 |
426 |
$14K |
| K0006 |
Heavy duty wheelchair |
370 |
359 |
$12K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
75 |
62 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
546 |
442 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,634 |
1,527 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
653 |
604 |
$7K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
248 |
236 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
783 |
720 |
$3K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
326 |
305 |
$1K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
312 |
301 |
$561.80 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
181 |
180 |
$207.24 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
69 |
65 |
$154.46 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
44 |
43 |
$58.47 |