| 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 |
4,904 |
4,892 |
$415K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,516 |
2,482 |
$141K |
| E0570 |
Nebulizer, with compressor |
934 |
928 |
$63K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,067 |
3,057 |
$46K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,752 |
2,745 |
$29K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
476 |
471 |
$28K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
147 |
143 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
1,048 |
1,044 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
247 |
244 |
$18K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
542 |
540 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
747 |
739 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,592 |
1,586 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
300 |
300 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
88 |
88 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
27 |
27 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
27 |
26 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$158.64 |
| A7015 |
Aerosol mask, used with dme nebulizer |
56 |
56 |
$75.15 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
33 |
33 |
$0.00 |