| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
599 |
598 |
$473K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,562 |
3,494 |
$313K |
| 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 |
216 |
215 |
$116K |
| E0601 |
Continuous positive airway pressure (cpap) device |
913 |
900 |
$90K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,188 |
1,174 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,587 |
1,556 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
406 |
401 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
119 |
119 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
200 |
198 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
311 |
308 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
249 |
247 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
466 |
459 |
$4K |
| K0001 |
Standard wheelchair |
36 |
36 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
42 |
42 |
$768.27 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
15 |
$524.39 |