| 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 |
3,980 |
3,954 |
$284K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,894 |
3,824 |
$132K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,525 |
2,506 |
$39K |
| 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) |
498 |
481 |
$35K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
164 |
162 |
$30K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
916 |
911 |
$29K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
209 |
209 |
$27K |
| K0003 |
Lightweight wheelchair |
574 |
566 |
$16K |
| E0570 |
Nebulizer, with compressor |
585 |
555 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
288 |
275 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
813 |
782 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
420 |
409 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
233 |
212 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
154 |
148 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,101 |
1,021 |
$4K |
| K0001 |
Standard wheelchair |
482 |
481 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
41 |
41 |
$4K |
| K0004 |
High strength, lightweight wheelchair |
52 |
49 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
29 |
27 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
27 |
27 |
$366.90 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
54 |
52 |
$250.17 |
| E0156 |
Seat attachment, walker |
16 |
14 |
$85.90 |