| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0562 |
Humidifier, heated, used with positive airway pressure device |
69 |
56 |
$8K |
| E0144 |
Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat |
56 |
53 |
$8K |
| E0574 |
Ultrasonic/electronic aerosol generator with small volume nebulizer |
58 |
55 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
121 |
88 |
$7K |
| E0570 |
Nebulizer, with compressor |
20 |
13 |
$2K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
16 |
16 |
$870.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
16 |
14 |
$689.13 |
| A7035 |
Headgear used with positive airway pressure device |
58 |
41 |
$671.52 |
| A7026 |
High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each |
15 |
14 |
$387.90 |
| A7037 |
Tubing used with positive airway pressure device |
43 |
29 |
$347.32 |
| A7025 |
High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each |
15 |
14 |
$340.88 |
| 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) |
40 |
39 |
$320.96 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$153.66 |
| A7044 |
Oral interface used with positive airway pressure device, each |
13 |
13 |
$123.56 |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
15 |
$0.00 |