| 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 |
1,180 |
1,091 |
$39K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,928 |
1,682 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
511 |
445 |
$14K |
| K0001 |
Standard wheelchair |
2,952 |
2,658 |
$10K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
742 |
719 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
928 |
858 |
$8K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
903 |
771 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
449 |
426 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
149 |
136 |
$2K |
| K0003 |
Lightweight wheelchair |
390 |
347 |
$2K |
| E0570 |
Nebulizer, with compressor |
467 |
440 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
71 |
71 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
586 |
524 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
85 |
83 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
53 |
50 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
174 |
160 |
$478.70 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
27 |
27 |
$313.67 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
27 |
$259.87 |
| E0156 |
Seat attachment, walker |
49 |
47 |
$114.93 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
149 |
133 |
$79.66 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
40 |
38 |
$63.61 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$59.22 |