| 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 |
6,954 |
6,063 |
$210K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,602 |
2,329 |
$73K |
| E0570 |
Nebulizer, with compressor |
2,080 |
1,718 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,644 |
4,001 |
$29K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,044 |
962 |
$23K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,004 |
863 |
$17K |
| K0004 |
High strength, lightweight wheelchair |
430 |
397 |
$8K |
| K0003 |
Lightweight wheelchair |
570 |
477 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
110 |
103 |
$2K |
| K0001 |
Standard wheelchair |
245 |
210 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
55 |
50 |
$1K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
579 |
277 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
95 |
89 |
$893.52 |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
15 |
$593.59 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
74 |
68 |
$531.21 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
231 |
210 |
$496.27 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
12 |
$417.10 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$44.02 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
26 |
25 |
$35.10 |