| 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 |
3,963 |
3,461 |
$102K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,225 |
1,136 |
$81K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,740 |
2,398 |
$58K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
309 |
230 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,860 |
1,570 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,667 |
1,543 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
1,527 |
1,414 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,813 |
1,590 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
333 |
310 |
$16K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
103 |
99 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,280 |
1,196 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
641 |
597 |
$15K |
| E0570 |
Nebulizer, with compressor |
1,457 |
1,305 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,236 |
2,083 |
$9K |
| K0001 |
Standard wheelchair |
1,212 |
1,107 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
1,047 |
923 |
$8K |
| 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) |
130 |
114 |
$5K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
59 |
58 |
$4K |
| V5266 |
Battery for use in hearing device |
661 |
614 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
688 |
640 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
29 |
27 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
55 |
55 |
$731.85 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$303.58 |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
13 |
12 |
$257.48 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$184.20 |
| A4456 |
Adhesive remover, wipes, any type, each |
13 |
12 |
$25.20 |