| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
6,301 |
6,247 |
$540K |
| 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) |
1,434 |
1,411 |
$294K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,366 |
2,306 |
$182K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,359 |
1,351 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
449 |
445 |
$38K |
| A7035 |
Headgear used with positive airway pressure device |
1,361 |
1,353 |
$36K |
| K0003 |
Lightweight wheelchair |
3,055 |
3,050 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,399 |
5,381 |
$25K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,339 |
1,339 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
229 |
227 |
$19K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,743 |
3,709 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
738 |
733 |
$7K |
| E0570 |
Nebulizer, with compressor |
481 |
480 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
251 |
251 |
$4K |
| K0001 |
Standard wheelchair |
324 |
324 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
36 |
36 |
$864.07 |
| E0245 |
Tub stool or bench |
13 |
13 |
$702.44 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$592.15 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
41 |
40 |
$554.46 |
| E0156 |
Seat attachment, walker |
90 |
90 |
$348.49 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
36 |
36 |
$303.51 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
27 |
27 |
$292.48 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
36 |
36 |
$193.74 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
24 |
24 |
$115.87 |