| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,427 |
1,206 |
$618K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
4,050 |
3,921 |
$418K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,339 |
1,278 |
$394K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
8,306 |
7,651 |
$377K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,490 |
7,949 |
$288K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,041 |
2,835 |
$130K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,746 |
2,579 |
$129K |
| 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) |
1,345 |
1,271 |
$122K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,015 |
956 |
$94K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
3,317 |
2,801 |
$90K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,853 |
1,639 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,870 |
3,583 |
$71K |
| L1852 |
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
189 |
179 |
$70K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
1,831 |
1,617 |
$59K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
1,662 |
1,572 |
$49K |
| E1392 |
Portable oxygen concentrator, rental |
2,094 |
1,940 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
3,072 |
2,854 |
$39K |
| A7037 |
Tubing used with positive airway pressure device |
3,765 |
3,504 |
$37K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
2,149 |
2,138 |
$33K |
| 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 |
579 |
541 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,226 |
1,143 |
$29K |
| K0001 |
Standard wheelchair |
900 |
825 |
$18K |
| E0570 |
Nebulizer, with compressor |
1,418 |
1,311 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
603 |
526 |
$16K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
365 |
356 |
$15K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
549 |
538 |
$15K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
101 |
99 |
$13K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
169 |
165 |
$6K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
50 |
45 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,407 |
4,019 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
471 |
389 |
$4K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
25 |
25 |
$4K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
233 |
220 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
832 |
768 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
103 |
85 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
207 |
196 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
677 |
630 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
254 |
229 |
$873.09 |
| A7036 |
Chinstrap used with positive airway pressure device |
13 |
12 |
$72.76 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
17 |
$19.61 |