| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
391 |
389 |
$238K |
| 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) |
97 |
97 |
$227K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
815 |
809 |
$212K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
649 |
644 |
$159K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
351 |
347 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
360 |
359 |
$66K |
| K0001 |
Standard wheelchair |
97 |
95 |
$55K |
| E0570 |
Nebulizer, with compressor |
276 |
270 |
$27K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
329 |
325 |
$22K |
| E0140 |
Walker, with trunk support, adjustable or fixed height, any type |
109 |
109 |
$20K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
222 |
218 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
117 |
115 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
367 |
362 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
318 |
314 |
$12K |
| K0003 |
Lightweight wheelchair |
12 |
12 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
101 |
100 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
256 |
253 |
$7K |
| A7036 |
Chinstrap used with positive airway pressure device |
255 |
253 |
$5K |
| E0156 |
Seat attachment, walker |
275 |
275 |
$5K |
| A4670 |
Automatic blood pressure monitor |
83 |
83 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
196 |
192 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
85 |
85 |
$3K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
65 |
65 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
26 |
26 |
$2K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
12 |
12 |
$2K |
| E0155 |
Wheel attachment, rigid pick-up walker, per pair |
14 |
14 |
$301.14 |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
12 |
12 |
$146.16 |
| A7015 |
Aerosol mask, used with dme nebulizer |
125 |
123 |
$113.51 |