| 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 |
14,153 |
9,462 |
$405K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,890 |
5,967 |
$200K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,652 |
1,965 |
$70K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,455 |
1,426 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,387 |
5,249 |
$35K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
1,319 |
760 |
$30K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,016 |
724 |
$20K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
828 |
599 |
$19K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,238 |
963 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,384 |
944 |
$18K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
58 |
40 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,171 |
786 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,428 |
1,122 |
$16K |
| 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) |
205 |
125 |
$15K |
| K0003 |
Lightweight wheelchair |
2,323 |
1,882 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,628 |
1,192 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,699 |
1,333 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
347 |
200 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,024 |
1,584 |
$4K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
273 |
200 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
246 |
208 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,771 |
1,391 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
3,084 |
2,415 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
1,972 |
1,557 |
$2K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
26 |
12 |
$1K |
| E0156 |
Seat attachment, walker |
359 |
271 |
$1K |
| K0001 |
Standard wheelchair |
660 |
468 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
316 |
199 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
470 |
359 |
$695.89 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,190 |
3,292 |
$673.76 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,064 |
831 |
$200.32 |