| 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 |
6,305 |
5,014 |
$255K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
559 |
448 |
$165K |
| E0570 |
Nebulizer, with compressor |
1,642 |
1,453 |
$72K |
| E1392 |
Portable oxygen concentrator, rental |
3,834 |
3,174 |
$54K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,166 |
986 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,628 |
1,335 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,209 |
994 |
$15K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
898 |
781 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
858 |
755 |
$13K |
| K0001 |
Standard wheelchair |
993 |
847 |
$11K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
150 |
122 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
255 |
207 |
$3K |
| E0116 |
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each |
149 |
124 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
681 |
494 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,006 |
856 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
65 |
57 |
$766.10 |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
12 |
$623.87 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
13 |
$440.26 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
19 |
14 |
$285.30 |