| 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 |
4,678 |
4,097 |
$476K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,594 |
3,821 |
$417K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,483 |
2,017 |
$241K |
| E0570 |
Nebulizer, with compressor |
3,188 |
2,729 |
$204K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,268 |
2,754 |
$176K |
| 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) |
818 |
702 |
$112K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,521 |
1,231 |
$108K |
| A7035 |
Headgear used with positive airway pressure device |
3,382 |
2,718 |
$69K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,532 |
5,413 |
$69K |
| 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 |
2,424 |
2,177 |
$63K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
508 |
478 |
$62K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,620 |
1,539 |
$58K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,195 |
954 |
$50K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,053 |
913 |
$45K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,157 |
969 |
$39K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,288 |
1,113 |
$29K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,168 |
1,716 |
$22K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
81 |
74 |
$22K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,479 |
1,909 |
$19K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
371 |
318 |
$14K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
20 |
12 |
$13K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
208 |
188 |
$11K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
169 |
134 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
3,435 |
2,756 |
$10K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
72 |
50 |
$4K |
| A7000 |
Canister, disposable, used with suction pump, each |
634 |
542 |
$4K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
113 |
73 |
$3K |
| A7526 |
Tracheostomy tube collar/holder, each |
162 |
125 |
$3K |
| A7002 |
Tubing, used with suction pump, each |
850 |
617 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,429 |
1,245 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
57 |
55 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
792 |
625 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,458 |
1,220 |
$2K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
26 |
25 |
$2K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
14 |
14 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$596.43 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
134 |
123 |
$325.75 |
| A4927 |
Gloves, non-sterile, per 100 |
17 |
12 |
$194.13 |