| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
1,080 |
995 |
$102K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,056 |
2,734 |
$100K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
549 |
510 |
$79K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,832 |
1,598 |
$57K |
| A7037 |
Tubing used with positive airway pressure device |
1,256 |
1,176 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,288 |
1,195 |
$26K |
| E0570 |
Nebulizer, with compressor |
2,033 |
1,852 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
193 |
179 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,809 |
1,679 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
230 |
216 |
$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) |
232 |
218 |
$7K |
| K0001 |
Standard wheelchair |
912 |
826 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
246 |
211 |
$4K |
| E0156 |
Seat attachment, walker |
451 |
413 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
268 |
238 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
29 |
27 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
158 |
149 |
$886.11 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
85 |
79 |
$668.13 |
| V5266 |
Battery for use in hearing device |
80 |
57 |
$562.11 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$308.61 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
108 |
89 |
$97.50 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$45.00 |