| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment |
927 |
919 |
$268K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
8,080 |
7,901 |
$149K |
| E0570 |
Nebulizer, with compressor |
1,967 |
1,961 |
$130K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,882 |
1,874 |
$125K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,017 |
998 |
$115K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
1,665 |
1,656 |
$98K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
2,022 |
2,007 |
$98K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,674 |
1,660 |
$90K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,143 |
2,042 |
$76K |
| L3260 |
Surgical boot/shoe, each |
1,315 |
1,298 |
$22K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,161 |
1,158 |
$15K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
913 |
886 |
$14K |
| K0001 |
Standard wheelchair |
277 |
270 |
$9K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
64 |
64 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
67 |
64 |
$5K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
416 |
413 |
$4K |
| A4565 |
Slings |
568 |
541 |
$3K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
25 |
25 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
38 |
38 |
$2K |
| A4670 |
Automatic blood pressure monitor |
50 |
50 |
$2K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
36 |
36 |
$1K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
36 |
36 |
$725.03 |
| E0156 |
Seat attachment, walker |
36 |
36 |
$418.88 |
| S8100 |
Holding chamber or spacer for use with an inhaler or nebulizer; without mask |
26 |
26 |
$298.68 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
95 |
94 |
$104.92 |