| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,332 |
3,819 |
$397K |
| E0570 |
Nebulizer, with compressor |
1,419 |
1,298 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
854 |
741 |
$73K |
| A7031 |
Face mask interface, replacement for full face mask, each |
741 |
671 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
427 |
388 |
$49K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,882 |
1,720 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,218 |
1,074 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
569 |
518 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
513 |
493 |
$12K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
267 |
235 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
151 |
144 |
$8K |
| 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) |
38 |
37 |
$7K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
92 |
91 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
53 |
50 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
42 |
39 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
229 |
219 |
$905.57 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
324 |
285 |
$854.46 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
30 |
24 |
$785.43 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
47 |
43 |
$674.84 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
12 |
$339.61 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
128 |
55 |
$287.02 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
44 |
40 |
$88.15 |