| 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 |
20,528 |
17,763 |
$1.01M |
| E0570 |
Nebulizer, with compressor |
4,967 |
4,528 |
$192K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,318 |
8,248 |
$172K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,220 |
2,786 |
$78K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,251 |
925 |
$48K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
125 |
76 |
$42K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
54 |
49 |
$39K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
22 |
16 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
546 |
499 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
235 |
191 |
$9K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
127 |
75 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
391 |
329 |
$6K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
17 |
15 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
439 |
392 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
670 |
574 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
178 |
139 |
$2K |
| K0001 |
Standard wheelchair |
327 |
303 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
32 |
24 |
$853.39 |
| A7035 |
Headgear used with positive airway pressure device |
74 |
65 |
$762.92 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
27 |
$31.33 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
13 |
$22.35 |