| 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 |
6,716 |
4,643 |
$208K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,002 |
3,052 |
$129K |
| E0570 |
Nebulizer, with compressor |
3,136 |
2,285 |
$105K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,620 |
3,492 |
$51K |
| A7030 |
Full face mask used with positive airway pressure device, each |
864 |
675 |
$46K |
| 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 |
2,072 |
1,521 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,608 |
1,183 |
$27K |
| 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) |
400 |
289 |
$24K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
139 |
127 |
$24K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
824 |
711 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,892 |
1,445 |
$22K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
624 |
272 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,748 |
2,887 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
846 |
748 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
781 |
651 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
282 |
193 |
$4K |
| K0001 |
Standard wheelchair |
155 |
94 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
811 |
517 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
670 |
421 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
236 |
195 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
37 |
24 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
461 |
336 |
$992.70 |
| A7015 |
Aerosol mask, used with dme nebulizer |
258 |
220 |
$328.06 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
19 |
15 |
$253.58 |