| 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 |
3,588 |
3,105 |
$72K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
621 |
569 |
$20K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
934 |
831 |
$19K |
| E0570 |
Nebulizer, with compressor |
1,659 |
1,460 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,406 |
2,132 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
863 |
717 |
$7K |
| K0001 |
Standard wheelchair |
1,347 |
1,116 |
$5K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
114 |
98 |
$4K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
105 |
86 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
105 |
82 |
$1K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
17 |
12 |
$473.21 |
| L3260 |
Surgical boot/shoe, each |
13 |
12 |
$200.89 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
130 |
107 |
$157.05 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
12 |
$76.22 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
28 |
25 |
$67.95 |