| 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 |
4,221 |
3,440 |
$252K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,010 |
1,520 |
$123K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,628 |
2,055 |
$63K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
518 |
360 |
$54K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,047 |
3,523 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,874 |
1,431 |
$43K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,837 |
1,504 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
1,941 |
1,447 |
$26K |
| E0570 |
Nebulizer, with compressor |
3,610 |
2,385 |
$20K |
| 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) |
428 |
378 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,483 |
3,524 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
315 |
231 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
829 |
499 |
$8K |
| K0001 |
Standard wheelchair |
466 |
370 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,133 |
875 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
67 |
55 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
135 |
111 |
$2K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
140 |
126 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
254 |
172 |
$437.28 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
16 |
12 |
$394.77 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
19 |
15 |
$328.36 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
466 |
350 |
$315.56 |
| A4452 |
Tape, waterproof, per 18 square inches |
29 |
12 |
$152.06 |