| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,747 |
1,730 |
$246K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,851 |
1,833 |
$61K |
| A7030 |
Full face mask used with positive airway pressure device, each |
431 |
424 |
$54K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,288 |
1,268 |
$54K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
524 |
516 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
1,320 |
1,306 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
114 |
114 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
273 |
270 |
$16K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
83 |
83 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,172 |
2,143 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
792 |
782 |
$13K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
124 |
123 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
85 |
83 |
$4K |
| E0570 |
Nebulizer, with compressor |
30 |
27 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
83 |
83 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
28 |
$712.89 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$464.63 |
| A7015 |
Aerosol mask, used with dme nebulizer |
32 |
28 |
$49.02 |