| 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 |
6,357 |
5,020 |
$117K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,016 |
4,120 |
$73K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
308 |
282 |
$55K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,601 |
1,296 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,178 |
2,553 |
$52K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,739 |
1,383 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,691 |
3,783 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,537 |
1,216 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,177 |
940 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
2,215 |
1,774 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,817 |
1,488 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,455 |
4,374 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,363 |
1,798 |
$10K |
| E0570 |
Nebulizer, with compressor |
2,557 |
2,125 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
1,192 |
973 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,371 |
1,115 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
653 |
526 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
295 |
243 |
$3K |
| K0003 |
Lightweight wheelchair |
567 |
428 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
234 |
197 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
361 |
295 |
$2K |
| K0001 |
Standard wheelchair |
386 |
308 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
65 |
63 |
$548.08 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
510 |
182 |
$309.56 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
21 |
15 |
$87.68 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
12 |
$29.97 |