| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
1,671 |
1,565 |
$200K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,924 |
1,768 |
$148K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,805 |
1,642 |
$141K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
569 |
542 |
$137K |
| E0570 |
Nebulizer, with compressor |
2,146 |
2,057 |
$137K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
633 |
601 |
$86K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,020 |
881 |
$81K |
| A7035 |
Headgear used with positive airway pressure device |
2,860 |
2,642 |
$77K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,972 |
1,904 |
$74K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,657 |
1,548 |
$69K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,019 |
986 |
$60K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,437 |
1,309 |
$50K |
| A7037 |
Tubing used with positive airway pressure device |
1,680 |
1,495 |
$45K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
751 |
718 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
283 |
257 |
$26K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
123 |
110 |
$22K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
989 |
936 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,061 |
3,749 |
$16K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
108 |
97 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,197 |
1,169 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
308 |
290 |
$8K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
15 |
14 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
185 |
182 |
$3K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
12 |
12 |
$588.16 |