| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,898 |
1,445 |
$54K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
812 |
649 |
$21K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
101 |
91 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,759 |
1,350 |
$15K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
135 |
120 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
439 |
378 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
73 |
68 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
200 |
184 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
597 |
508 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
236 |
220 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
340 |
300 |
$692.34 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
116 |
107 |
$401.55 |
| 0031A |
|
25 |
25 |
$0.00 |