| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
3,431 |
3,430 |
$410K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,418 |
4,393 |
$315K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,738 |
2,701 |
$150K |
| E0570 |
Nebulizer, with compressor |
2,747 |
2,740 |
$82K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,169 |
4,141 |
$62K |
| E0601 |
Continuous positive airway pressure (cpap) device |
929 |
927 |
$41K |
| K0001 |
Standard wheelchair |
1,823 |
1,812 |
$40K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
1,028 |
1,027 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
656 |
636 |
$21K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
373 |
297 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,108 |
1,105 |
$15K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
436 |
436 |
$13K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
301 |
298 |
$8K |
| E0156 |
Seat attachment, walker |
916 |
893 |
$7K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
115 |
114 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
97 |
97 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
83 |
83 |
$2K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
105 |
105 |
$1K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
16 |
16 |
$773.51 |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
25 |
24 |
$657.97 |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
12 |
12 |
$646.38 |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
12 |
12 |
$517.91 |
| A4259 |
Lancets, per box of 100 |
142 |
140 |
$498.10 |
| A7037 |
Tubing used with positive airway pressure device |
26 |
25 |
$299.50 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
27 |
26 |
$281.60 |
| L3260 |
Surgical boot/shoe, each |
12 |
12 |
$246.95 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$12.18 |