| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,412 |
1,390 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
848 |
833 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
628 |
623 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
256 |
250 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
399 |
397 |
$3K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
373 |
372 |
$3K |
| K0001 |
Standard wheelchair |
444 |
442 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
171 |
169 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
412 |
409 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
281 |
281 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
358 |
356 |
$1K |
| E0570 |
Nebulizer, with compressor |
176 |
176 |
$556.17 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
224 |
223 |
$435.62 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
82 |
82 |
$251.52 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
66 |
65 |
$201.02 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
109 |
108 |
$167.00 |
| A7031 |
Face mask interface, replacement for full face mask, each |
99 |
99 |
$160.79 |
| E0156 |
Seat attachment, walker |
28 |
28 |
$50.29 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$0.00 |