| 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 |
2,046 |
1,837 |
$158K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,818 |
1,597 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
895 |
750 |
$43K |
| A7030 |
Full face mask used with positive airway pressure device, each |
342 |
307 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,034 |
952 |
$18K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
151 |
135 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
262 |
210 |
$13K |
| K0001 |
Standard wheelchair |
514 |
441 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
543 |
471 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
373 |
334 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
356 |
226 |
$10K |
| E0570 |
Nebulizer, with compressor |
138 |
106 |
$9K |
| 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 |
493 |
410 |
$8K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
220 |
200 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
650 |
582 |
$3K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
63 |
58 |
$2K |
| A4670 |
Automatic blood pressure monitor |
28 |
25 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$894.58 |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
15 |
13 |
$818.59 |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
18 |
13 |
$745.85 |
| A7031 |
Face mask interface, replacement for full face mask, each |
16 |
15 |
$687.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
186 |
148 |
$603.66 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
17 |
14 |
$414.26 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
26 |
25 |
$237.94 |
| A7015 |
Aerosol mask, used with dme nebulizer |
78 |
56 |
$82.00 |