| 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 |
5,187 |
4,573 |
$359K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,090 |
1,980 |
$112K |
| K0001 |
Standard wheelchair |
7,116 |
6,054 |
$90K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,478 |
3,958 |
$75K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,915 |
1,705 |
$67K |
| E0570 |
Nebulizer, with compressor |
3,073 |
2,639 |
$64K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,332 |
2,613 |
$46K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,921 |
2,557 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,815 |
1,732 |
$12K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
671 |
545 |
$8K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
121 |
111 |
$4K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
41 |
37 |
$603.26 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
311 |
217 |
$595.29 |
| A7030 |
Full face mask used with positive airway pressure device, each |
73 |
52 |
$449.55 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
51 |
45 |
$248.55 |
| A7037 |
Tubing used with positive airway pressure device |
361 |
260 |
$219.95 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
504 |
350 |
$160.57 |
| A7035 |
Headgear used with positive airway pressure device |
303 |
214 |
$116.40 |
| K0003 |
Lightweight wheelchair |
16 |
14 |
$98.10 |
| E1392 |
Portable oxygen concentrator, rental |
107 |
89 |
$8.83 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
19 |
12 |
$0.00 |