| 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 |
664 |
640 |
$49K |
| E0601 |
Continuous positive airway pressure (cpap) device |
646 |
642 |
$29K |
| E0570 |
Nebulizer, with compressor |
343 |
328 |
$14K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
300 |
288 |
$6K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
12 |
12 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
99 |
96 |
$3K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
13 |
13 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
549 |
529 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
36 |
36 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
126 |
119 |
$2K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
82 |
48 |
$1K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
48 |
48 |
$857.98 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
15 |
15 |
$789.71 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
14 |
13 |
$626.86 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25 |
25 |
$304.78 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
25 |
24 |
$298.48 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$225.77 |