| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,749 |
3,628 |
$192K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,585 |
3,449 |
$53K |
| K0001 |
Standard wheelchair |
2,313 |
2,259 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
690 |
690 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,147 |
1,144 |
$21K |
| T4541 |
Incontinence product, disposable underpad, large, each |
453 |
450 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
177 |
176 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
1,335 |
1,331 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,423 |
1,420 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
482 |
463 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
219 |
219 |
$10K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
96 |
93 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
264 |
254 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,144 |
1,143 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
164 |
164 |
$5K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
118 |
115 |
$5K |
| E0570 |
Nebulizer, with compressor |
67 |
67 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
93 |
90 |
$1K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
197 |
196 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
39 |
39 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
42 |
42 |
$958.12 |
| E0156 |
Seat attachment, walker |
129 |
128 |
$781.08 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$235.61 |
| A7015 |
Aerosol mask, used with dme nebulizer |
38 |
38 |
$33.32 |