| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,878 |
3,660 |
$210K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,369 |
2,181 |
$169K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,941 |
3,636 |
$144K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,992 |
1,747 |
$53K |
| A7037 |
Tubing used with positive airway pressure device |
3,051 |
2,823 |
$50K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,062 |
1,025 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
1,964 |
1,808 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
463 |
416 |
$28K |
| K0001 |
Standard wheelchair |
2,483 |
2,316 |
$25K |
| E0570 |
Nebulizer, with compressor |
1,611 |
1,509 |
$24K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,751 |
2,523 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,581 |
3,161 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
249 |
231 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,232 |
2,040 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,576 |
1,459 |
$9K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
18 |
12 |
$8K |
| 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) |
38 |
36 |
$6K |
| K0003 |
Lightweight wheelchair |
142 |
141 |
$4K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
170 |
154 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
64 |
57 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
38 |
37 |
$924.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
341 |
322 |
$892.35 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
49 |
48 |
$712.39 |
| E1392 |
Portable oxygen concentrator, rental |
56 |
55 |
$350.31 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
38 |
37 |
$204.58 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
14 |
12 |
$184.41 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
28 |
25 |
$181.84 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
198 |
175 |
$8.00 |
| K0816 |
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds |
25 |
25 |
$0.00 |