| 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 |
21,948 |
21,161 |
$2.09M |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,379 |
5,274 |
$657K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,025 |
4,941 |
$628K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,676 |
8,387 |
$546K |
| E0570 |
Nebulizer, with compressor |
4,879 |
4,699 |
$263K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,768 |
1,736 |
$252K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,432 |
1,392 |
$218K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,915 |
2,842 |
$217K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,882 |
3,721 |
$205K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,506 |
12,057 |
$191K |
| A7037 |
Tubing used with positive airway pressure device |
7,743 |
7,572 |
$190K |
| 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) |
1,496 |
1,458 |
$180K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,309 |
8,037 |
$134K |
| A7035 |
Headgear used with positive airway pressure device |
5,166 |
5,043 |
$128K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
894 |
874 |
$92K |
| K0001 |
Standard wheelchair |
3,605 |
3,448 |
$78K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
967 |
939 |
$51K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,463 |
3,389 |
$43K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,842 |
1,797 |
$38K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
838 |
827 |
$28K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
119 |
119 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
1,590 |
1,533 |
$21K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
556 |
472 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
266 |
266 |
$11K |
| K0006 |
Heavy duty wheelchair |
185 |
170 |
$10K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
337 |
330 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,154 |
1,118 |
$8K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
410 |
382 |
$7K |
| E0156 |
Seat attachment, walker |
429 |
421 |
$4K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
14 |
14 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
15 |
15 |
$1K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
13 |
12 |
$795.72 |
| A7015 |
Aerosol mask, used with dme nebulizer |
560 |
551 |
$776.31 |
| A4565 |
Slings |
83 |
83 |
$585.20 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
13 |
13 |
$133.18 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
30 |
27 |
$120.01 |