| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
8,368 |
6,683 |
$384K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,274 |
5,722 |
$205K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,855 |
2,439 |
$185K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,414 |
2,089 |
$171K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,132 |
3,570 |
$125K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,153 |
3,009 |
$105K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,501 |
2,345 |
$89K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,828 |
1,735 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,594 |
5,190 |
$59K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
910 |
856 |
$54K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
2,024 |
1,930 |
$52K |
| A7035 |
Headgear used with positive airway pressure device |
3,265 |
2,889 |
$48K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
799 |
741 |
$41K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
530 |
504 |
$39K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
930 |
881 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,329 |
11,080 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
2,565 |
2,274 |
$37K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
3,957 |
3,198 |
$36K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,195 |
1,109 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,021 |
1,810 |
$26K |
| K0001 |
Standard wheelchair |
704 |
609 |
$19K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
332 |
313 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,016 |
1,772 |
$17K |
| 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) |
182 |
171 |
$14K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
406 |
361 |
$14K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,780 |
1,565 |
$11K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
63 |
59 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,578 |
2,879 |
$4K |
| L3260 |
Surgical boot/shoe, each |
359 |
335 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,025 |
2,597 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
123 |
61 |
$2K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
12 |
12 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
524 |
388 |
$125.43 |