| 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 |
4,234 |
4,222 |
$209K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,646 |
1,643 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,566 |
2,562 |
$28K |
| E0570 |
Nebulizer, with compressor |
1,316 |
1,310 |
$25K |
| K0001 |
Standard wheelchair |
1,369 |
1,367 |
$22K |
| 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) |
448 |
442 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
515 |
515 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
276 |
276 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
209 |
209 |
$8K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
366 |
365 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
685 |
682 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
432 |
432 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
299 |
299 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
654 |
654 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
70 |
70 |
$1K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
12 |
12 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
115 |
115 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
16 |
$49.75 |