| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,203 |
1,199 |
$54K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
373 |
192 |
$33K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
691 |
474 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,669 |
1,641 |
$27K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
77 |
77 |
$22K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
763 |
422 |
$16K |
| K0040 |
Adjustable angle footplate, each |
277 |
158 |
$7K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
212 |
190 |
$7K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
437 |
240 |
$5K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
51 |
51 |
$4K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
52 |
52 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
94 |
94 |
$3K |
| E2219 |
Manual wheelchair accessory, foam caster tire, any size, each |
96 |
68 |
$3K |
| K0001 |
Standard wheelchair |
63 |
63 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
37 |
37 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
232 |
230 |
$904.59 |
| A7035 |
Headgear used with positive airway pressure device |
46 |
46 |
$864.62 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13 |
13 |
$760.40 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
41 |
25 |
$671.90 |
| A7031 |
Face mask interface, replacement for full face mask, each |
15 |
15 |
$615.03 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
43 |
26 |
$424.95 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
39 |
39 |
$378.09 |