| 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 |
11,377 |
9,699 |
$293K |
| E0570 |
Nebulizer, with compressor |
3,468 |
3,133 |
$45K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,063 |
1,757 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
2,181 |
1,969 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,798 |
4,036 |
$24K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,046 |
1,840 |
$21K |
| K0001 |
Standard wheelchair |
2,630 |
2,288 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
336 |
306 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,423 |
2,055 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
404 |
337 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,690 |
1,466 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
187 |
166 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,075 |
1,917 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
449 |
394 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
305 |
276 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,660 |
1,526 |
$1K |
| 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 |
15 |
12 |
$561.23 |
| 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 |
15 |
12 |
$502.80 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
335 |
182 |
$131.53 |
| E0156 |
Seat attachment, walker |
13 |
13 |
$22.60 |