| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
6,689 |
6,430 |
$506K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,441 |
3,299 |
$451K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,150 |
3,079 |
$359K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,007 |
2,875 |
$323K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,278 |
1,249 |
$305K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,687 |
7,386 |
$175K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,848 |
1,787 |
$153K |
| E0570 |
Nebulizer, with compressor |
1,965 |
1,874 |
$132K |
| 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) |
707 |
669 |
$99K |
| A7037 |
Tubing used with positive airway pressure device |
3,489 |
3,339 |
$94K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,734 |
1,679 |
$83K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
344 |
339 |
$82K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
632 |
603 |
$79K |
| A7035 |
Headgear used with positive airway pressure device |
3,214 |
3,090 |
$79K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,614 |
4,432 |
$78K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,032 |
1,015 |
$63K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
666 |
643 |
$61K |
| 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 |
1,671 |
1,631 |
$46K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
611 |
575 |
$41K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,282 |
2,193 |
$29K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
335 |
286 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
577 |
542 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
461 |
450 |
$10K |
| K0001 |
Standard wheelchair |
324 |
315 |
$10K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
219 |
213 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
749 |
479 |
$4K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
180 |
172 |
$4K |
| K0002 |
Standard hemi (low seat) wheelchair |
104 |
101 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
76 |
75 |
$3K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
41 |
39 |
$3K |
| E0156 |
Seat attachment, walker |
264 |
246 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
31 |
31 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
45 |
41 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
26 |
26 |
$1K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
13 |
13 |
$981.96 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
16 |
14 |
$824.14 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
90 |
87 |
$587.91 |
| A7036 |
Chinstrap used with positive airway pressure device |
24 |
24 |
$248.02 |
| A7015 |
Aerosol mask, used with dme nebulizer |
122 |
115 |
$165.89 |