| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
5,217 |
4,488 |
$364K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,086 |
4,610 |
$312K |
| E0570 |
Nebulizer, with compressor |
9,775 |
9,335 |
$303K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,678 |
1,374 |
$238K |
| 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) |
1,117 |
981 |
$122K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,409 |
3,144 |
$119K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,304 |
2,082 |
$103K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,253 |
1,168 |
$97K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,164 |
5,624 |
$96K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,882 |
1,726 |
$78K |
| K0001 |
Standard wheelchair |
5,100 |
4,714 |
$75K |
| A7037 |
Tubing used with positive airway pressure device |
2,839 |
2,674 |
$55K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,026 |
939 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
2,243 |
2,068 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,344 |
5,848 |
$38K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
538 |
500 |
$30K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
451 |
423 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,727 |
3,214 |
$20K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,910 |
1,741 |
$18K |
| K0003 |
Lightweight wheelchair |
362 |
328 |
$13K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
636 |
576 |
$11K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
336 |
319 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
910 |
835 |
$6K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
55 |
50 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,955 |
921 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
445 |
428 |
$4K |
| K0007 |
Extra heavy duty wheelchair |
40 |
38 |
$3K |
| E0156 |
Seat attachment, walker |
418 |
396 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
157 |
129 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
40 |
37 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
23 |
12 |
$313.21 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
89 |
82 |
$170.38 |