| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
3,132 |
2,825 |
$177K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,143 |
1,088 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
836 |
796 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
647 |
623 |
$7K |
| K0001 |
Standard wheelchair |
1,625 |
1,571 |
$5K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
931 |
896 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,734 |
1,672 |
$4K |
| K0003 |
Lightweight wheelchair |
806 |
752 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
111 |
110 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
378 |
355 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
320 |
299 |
$736.33 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,212 |
1,100 |
$680.27 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
25 |
25 |
$665.51 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
28 |
25 |
$418.38 |
| A7035 |
Headgear used with positive airway pressure device |
88 |
78 |
$324.95 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
730 |
682 |
$94.29 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
30 |
25 |
$33.54 |