| 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 |
2,794 |
2,656 |
$332K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,836 |
2,638 |
$195K |
| E0570 |
Nebulizer, with compressor |
1,932 |
1,797 |
$101K |
| A7030 |
Full face mask used with positive airway pressure device, each |
778 |
739 |
$89K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,206 |
1,930 |
$84K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,114 |
1,031 |
$76K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,432 |
1,395 |
$52K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
305 |
292 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,560 |
1,516 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,248 |
1,185 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
512 |
489 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,188 |
2,104 |
$15K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
55 |
54 |
$11K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
163 |
157 |
$10K |
| 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) |
67 |
60 |
$8K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
309 |
292 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
1,870 |
1,793 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,382 |
1,345 |
$6K |
| A4565 |
Slings |
676 |
646 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
99 |
94 |
$4K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
39 |
38 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
45 |
39 |
$2K |
| L4386 |
Walking boot, non-pneumatic, 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 |
12 |
12 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
977 |
958 |
$2K |
| L3260 |
Surgical boot/shoe, each |
15 |
13 |
$198.55 |