| 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 |
13,342 |
11,812 |
$394K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
494 |
381 |
$143K |
| E0570 |
Nebulizer, with compressor |
3,290 |
2,967 |
$134K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,981 |
5,174 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,029 |
1,673 |
$26K |
| K0003 |
Lightweight wheelchair |
747 |
652 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,421 |
1,145 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
279 |
217 |
$4K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
1,926 |
1,868 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
102 |
79 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
84 |
78 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
142 |
133 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$605.33 |
| A7037 |
Tubing used with positive airway pressure device |
119 |
84 |
$446.71 |
| A7035 |
Headgear used with positive airway pressure device |
46 |
40 |
$311.27 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
63 |
54 |
$122.05 |
| A4565 |
Slings |
13 |
12 |
$47.56 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
24 |
12 |
$6.90 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
24 |
12 |
$0.00 |