| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,628 |
1,557 |
$325K |
| A7030 |
Full face mask used with positive airway pressure device, each |
777 |
744 |
$90K |
| E0570 |
Nebulizer, with compressor |
1,266 |
1,155 |
$65K |
| A7037 |
Tubing used with positive airway pressure device |
2,037 |
1,947 |
$58K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
634 |
616 |
$55K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,001 |
882 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
1,306 |
1,240 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
712 |
692 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,668 |
3,518 |
$27K |
| K0003 |
Lightweight wheelchair |
354 |
314 |
$20K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
692 |
660 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
177 |
169 |
$5K |
| E2203 |
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches |
54 |
51 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
76 |
76 |
$4K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
35 |
25 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,321 |
1,234 |
$2K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
20 |
16 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,289 |
1,205 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
12 |
$1K |
| E1399 |
Durable medical equipment, miscellaneous |
194 |
180 |
$264.08 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
13 |
$105.12 |