| 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 |
10,348 |
7,688 |
$164K |
| E0570 |
Nebulizer, with compressor |
5,563 |
4,282 |
$118K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,043 |
2,931 |
$65K |
| 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 |
138 |
92 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,435 |
1,800 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,049 |
1,397 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,845 |
3,821 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
482 |
348 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,849 |
1,315 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,162 |
834 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,246 |
3,101 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
532 |
396 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,513 |
2,107 |
$5K |
| K0001 |
Standard wheelchair |
720 |
524 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
396 |
367 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
918 |
656 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,721 |
2,359 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
681 |
571 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
77 |
53 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,331 |
2,044 |
$784.79 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
13 |
$562.25 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$131.56 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
42 |
26 |
$123.18 |