| 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 |
1,856 |
1,799 |
$179K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,952 |
1,952 |
$112K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
132 |
125 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,113 |
2,070 |
$44K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
965 |
921 |
$29K |
| A7030 |
Full face mask used with positive airway pressure device, each |
320 |
319 |
$24K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
185 |
184 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
702 |
699 |
$19K |
| E0570 |
Nebulizer, with compressor |
742 |
741 |
$18K |
| 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) |
102 |
102 |
$16K |
| K0001 |
Standard wheelchair |
631 |
617 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
527 |
522 |
$10K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
311 |
309 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
143 |
142 |
$8K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
301 |
285 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
307 |
297 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
407 |
405 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
192 |
184 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
795 |
791 |
$3K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
130 |
130 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
41 |
41 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
37 |
36 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
54 |
54 |
$2K |
| L3260 |
Surgical boot/shoe, each |
40 |
38 |
$787.56 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
12 |
12 |
$331.96 |