| 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 |
3,362 |
3,124 |
$128K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,178 |
979 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
457 |
441 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
809 |
777 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
985 |
839 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,584 |
1,472 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
553 |
508 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
312 |
299 |
$11K |
| K0001 |
Standard wheelchair |
805 |
724 |
$9K |
| E0570 |
Nebulizer, with compressor |
850 |
808 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
476 |
442 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
523 |
502 |
$7K |
| 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) |
111 |
106 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
79 |
75 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
281 |
270 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,228 |
1,003 |
$2K |
| K0002 |
Standard hemi (low seat) wheelchair |
212 |
165 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
372 |
300 |
$538.36 |
| K0003 |
Lightweight wheelchair |
145 |
109 |
$465.51 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$199.91 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$123.22 |