| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
2,117 |
2,074 |
$449K |
| K0001 |
Standard wheelchair |
3,725 |
3,679 |
$295K |
| E0601 |
Continuous positive airway pressure (cpap) device |
638 |
620 |
$121K |
| A4670 |
Automatic blood pressure monitor |
3,005 |
2,817 |
$108K |
| E0570 |
Nebulizer, with compressor |
1,435 |
1,375 |
$92K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
604 |
560 |
$64K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
674 |
398 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
556 |
538 |
$48K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
935 |
899 |
$41K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
867 |
829 |
$35K |
| E0156 |
Seat attachment, walker |
2,441 |
2,395 |
$32K |
| E0245 |
Tub stool or bench |
781 |
766 |
$32K |
| K0003 |
Lightweight wheelchair |
262 |
250 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
184 |
183 |
$30K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
548 |
357 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
529 |
442 |
$12K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
923 |
914 |
$11K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
99 |
71 |
$11K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
14 |
14 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
219 |
218 |
$6K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
14 |
14 |
$6K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
113 |
112 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
232 |
231 |
$5K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
178 |
177 |
$4K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
35 |
35 |
$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 |
49 |
36 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
37 |
37 |
$3K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
197 |
197 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
51 |
51 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
146 |
146 |
$1K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
18 |
12 |
$889.60 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
177 |
175 |
$863.43 |
| A7036 |
Chinstrap used with positive airway pressure device |
70 |
70 |
$833.16 |
| A7015 |
Aerosol mask, used with dme nebulizer |
234 |
231 |
$248.89 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$160.15 |