| 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 |
6,136 |
5,070 |
$205K |
| E0570 |
Nebulizer, with compressor |
1,803 |
1,404 |
$64K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,658 |
1,404 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,942 |
2,428 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
341 |
269 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
460 |
335 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
412 |
310 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
762 |
632 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
270 |
218 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,595 |
1,331 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
230 |
196 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
98 |
70 |
$2K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
12 |
12 |
$1K |
| K0001 |
Standard wheelchair |
139 |
112 |
$810.14 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
27 |
26 |
$765.84 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
577 |
448 |
$363.02 |
| A7037 |
Tubing used with positive airway pressure device |
46 |
43 |
$244.22 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
211 |
89 |
$178.95 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
404 |
337 |
$77.45 |
| A7015 |
Aerosol mask, used with dme nebulizer |
76 |
55 |
$55.85 |