| 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 |
2,286 |
2,023 |
$85K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,251 |
1,992 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
744 |
648 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
776 |
727 |
$28K |
| 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) |
195 |
175 |
$23K |
| K0001 |
Standard wheelchair |
1,103 |
987 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
946 |
820 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
726 |
618 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
373 |
312 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
294 |
272 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
327 |
297 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
398 |
364 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,766 |
1,182 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
103 |
90 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
209 |
179 |
$2K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
189 |
127 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
35 |
29 |
$659.30 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
16 |
12 |
$404.86 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
102 |
89 |
$152.61 |