| 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 |
14,981 |
14,741 |
$1.09M |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,837 |
3,649 |
$291K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,971 |
1,962 |
$151K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,007 |
9,886 |
$144K |
| E0570 |
Nebulizer, with compressor |
2,999 |
2,978 |
$93K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,476 |
3,291 |
$83K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,126 |
1,122 |
$45K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
925 |
919 |
$40K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,765 |
1,758 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
2,447 |
2,433 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
3,004 |
2,992 |
$29K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
706 |
699 |
$27K |
| K0001 |
Standard wheelchair |
1,659 |
1,634 |
$26K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
556 |
556 |
$20K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
557 |
532 |
$19K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
256 |
250 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
539 |
535 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,964 |
2,939 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
773 |
769 |
$11K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
277 |
271 |
$9K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
132 |
131 |
$8K |
| 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) |
51 |
50 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,429 |
1,418 |
$4K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
37 |
37 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
55 |
54 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$861.90 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
153 |
152 |
$624.70 |
| E0156 |
Seat attachment, walker |
36 |
36 |
$339.95 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
24 |
24 |
$302.67 |
| E0245 |
Tub stool or bench |
12 |
12 |
$272.62 |