| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,053 |
2,996 |
$798K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,907 |
2,898 |
$322K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,836 |
2,806 |
$241K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,299 |
1,296 |
$120K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,348 |
3,344 |
$108K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,147 |
1,046 |
$105K |
| A7035 |
Headgear used with positive airway pressure device |
3,415 |
3,402 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
3,701 |
3,685 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
809 |
804 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
418 |
414 |
$17K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
98 |
85 |
$9K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
75 |
66 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
403 |
389 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,738 |
2,720 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
130 |
130 |
$2K |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$841.89 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
413 |
411 |
$672.10 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$662.24 |
| A4554 |
Disposable underpads, all sizes |
12 |
12 |
$353.19 |
| E0561 |
Humidifier, non-heated, used with positive airway pressure device |
12 |
12 |
$325.74 |
| K0001 |
Standard wheelchair |
118 |
112 |
$321.23 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
131 |
122 |
$157.24 |