| 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 |
1,609 |
1,513 |
$111K |
| E0570 |
Nebulizer, with compressor |
1,541 |
1,493 |
$25K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
154 |
146 |
$21K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
120 |
113 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,278 |
1,178 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
279 |
265 |
$17K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
81 |
77 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
146 |
137 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
56 |
56 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
26 |
24 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
27 |
27 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
99 |
92 |
$664.33 |
| T4541 |
Incontinence product, disposable underpad, large, each |
27 |
26 |
$623.20 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
13 |
$373.04 |
| A7035 |
Headgear used with positive airway pressure device |
14 |
14 |
$208.80 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
14 |
$87.58 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$79.63 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
84 |
78 |
$36.40 |