| 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 |
3,011 |
2,928 |
$205K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,406 |
3,296 |
$125K |
| K0001 |
Standard wheelchair |
2,909 |
2,854 |
$57K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,641 |
2,547 |
$31K |
| E0570 |
Nebulizer, with compressor |
1,114 |
1,071 |
$26K |
| T4541 |
Incontinence product, disposable underpad, large, each |
479 |
434 |
$22K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
211 |
196 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
358 |
352 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
149 |
147 |
$5K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
78 |
75 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
31 |
27 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
156 |
148 |
$4K |
| K0003 |
Lightweight wheelchair |
110 |
109 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
232 |
229 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
74 |
67 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
68 |
63 |
$1K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
122 |
118 |
$704.43 |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
12 |
$618.82 |
| E0245 |
Tub stool or bench |
16 |
13 |
$602.99 |
| E1392 |
Portable oxygen concentrator, rental |
37 |
36 |
$489.77 |