| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,111 |
2,799 |
$110K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,118 |
1,752 |
$110K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
965 |
892 |
$87K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
966 |
798 |
$58K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,394 |
3,070 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
734 |
685 |
$46K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
861 |
801 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,599 |
1,486 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,121 |
1,038 |
$15K |
| E0570 |
Nebulizer, with compressor |
1,645 |
1,470 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
361 |
326 |
$11K |
| K0001 |
Standard wheelchair |
728 |
699 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
452 |
421 |
$7K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
223 |
179 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
483 |
451 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,427 |
1,326 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
244 |
199 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
802 |
752 |
$2K |
| E0156 |
Seat attachment, walker |
576 |
530 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
286 |
271 |
$2K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
264 |
251 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
305 |
275 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
137 |
129 |
$970.07 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
70 |
66 |
$535.23 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
13 |
$230.40 |