| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
21,596 |
20,597 |
$2.24M |
| A7030 |
Full face mask used with positive airway pressure device, each |
8,195 |
7,718 |
$950K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,440 |
4,042 |
$569K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,149 |
6,664 |
$530K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,400 |
5,081 |
$445K |
| A7037 |
Tubing used with positive airway pressure device |
13,514 |
12,777 |
$390K |
| A7035 |
Headgear used with positive airway pressure device |
13,578 |
12,818 |
$332K |
| K0003 |
Lightweight wheelchair |
2,594 |
2,499 |
$143K |
| 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) |
443 |
414 |
$102K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
16,676 |
15,845 |
$93K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,787 |
1,720 |
$75K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
737 |
690 |
$53K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,375 |
1,324 |
$39K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
692 |
663 |
$31K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
938 |
890 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,299 |
1,101 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,537 |
1,474 |
$15K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
57 |
55 |
$3K |