| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,159 |
6,709 |
$493K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,570 |
3,163 |
$246K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,556 |
5,290 |
$210K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,320 |
3,116 |
$150K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,443 |
1,374 |
$147K |
| E0570 |
Nebulizer, with compressor |
3,021 |
2,862 |
$132K |
| E0619 |
Apnea monitor, with recording feature |
558 |
539 |
$116K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
790 |
759 |
$92K |
| A7037 |
Tubing used with positive airway pressure device |
2,757 |
2,611 |
$68K |
| K0001 |
Standard wheelchair |
4,539 |
4,143 |
$61K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,945 |
8,512 |
$58K |
| A7035 |
Headgear used with positive airway pressure device |
2,228 |
2,096 |
$50K |
| 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) |
193 |
181 |
$42K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
565 |
513 |
$37K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
861 |
791 |
$35K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
657 |
613 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,370 |
2,909 |
$24K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,106 |
1,005 |
$14K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
440 |
403 |
$9K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
511 |
332 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
250 |
203 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
477 |
462 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,229 |
2,137 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,173 |
2,075 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
389 |
359 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
40 |
39 |
$642.30 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
128 |
116 |
$614.99 |
| E0168 |
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each |
25 |
24 |
$449.66 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
86 |
79 |
$348.26 |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
941 |
883 |
$329.11 |