| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,057 |
1,886 |
$142K |
| E0570 |
Nebulizer, with compressor |
3,445 |
3,337 |
$115K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,328 |
1,238 |
$61K |
| A7030 |
Full face mask used with positive airway pressure device, each |
530 |
500 |
$44K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,705 |
1,644 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
726 |
672 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
943 |
884 |
$20K |
| K0001 |
Standard wheelchair |
1,920 |
1,756 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
404 |
386 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
700 |
661 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,648 |
1,496 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
238 |
222 |
$7K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,002 |
957 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,070 |
1,054 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
122 |
112 |
$703.80 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
388 |
379 |
$577.42 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
14 |
13 |
$511.98 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
24 |
24 |
$334.18 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
53 |
52 |
$232.58 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
14 |
$112.27 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
13 |
13 |
$88.43 |
| E1392 |
Portable oxygen concentrator, rental |
13 |
12 |
$77.44 |
| A4259 |
Lancets, per box of 100 |
51 |
50 |
$18.33 |