| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4575 |
Topical hyperbaric oxygen chamber, disposable |
42 |
38 |
$213K |
| E0277 |
Powered pressure-reducing air mattress |
1,364 |
1,326 |
$72K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,489 |
1,486 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,159 |
1,158 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
442 |
440 |
$7K |
| E0372 |
Powered air overlay for mattress, standard mattress length and width |
63 |
63 |
$5K |
| K0001 |
Standard wheelchair |
611 |
611 |
$4K |
| E0570 |
Nebulizer, with compressor |
506 |
505 |
$3K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
92 |
92 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
81 |
81 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
198 |
197 |
$683.05 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
14 |
12 |
$497.32 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
103 |
98 |
$303.96 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
237 |
237 |
$95.29 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$25.60 |