| 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 |
8,673 |
8,008 |
$857K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,401 |
4,186 |
$251K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
2,128 |
1,874 |
$151K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,288 |
1,227 |
$134K |
| E0570 |
Nebulizer, with compressor |
3,194 |
3,117 |
$123K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,081 |
1,044 |
$112K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,671 |
4,421 |
$96K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,282 |
4,899 |
$88K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,893 |
1,838 |
$61K |
| A7035 |
Headgear used with positive airway pressure device |
1,518 |
1,460 |
$35K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
341 |
332 |
$35K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
894 |
855 |
$31K |
| K0001 |
Standard wheelchair |
632 |
607 |
$17K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
216 |
215 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
838 |
820 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
351 |
349 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,027 |
1,945 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
466 |
449 |
$9K |
| 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) |
47 |
38 |
$8K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
253 |
242 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
82 |
81 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
353 |
328 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
304 |
296 |
$5K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
12 |
12 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
110 |
108 |
$3K |
| 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 |
13 |
13 |
$2K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
26 |
26 |
$803.55 |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
28 |
27 |
$754.71 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
13 |
$377.67 |
| E0156 |
Seat attachment, walker |
14 |
13 |
$138.29 |