| 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 |
13,613 |
10,832 |
$410K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,437 |
4,695 |
$261K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
2,532 |
1,962 |
$233K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
10,284 |
8,369 |
$141K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,824 |
1,396 |
$126K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
4,813 |
3,785 |
$124K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
7,152 |
4,857 |
$111K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
2,966 |
2,356 |
$96K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,007 |
1,635 |
$78K |
| K0001 |
Standard wheelchair |
11,282 |
8,049 |
$68K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,146 |
6,487 |
$49K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,477 |
2,253 |
$46K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,818 |
2,236 |
$42K |
| E0570 |
Nebulizer, with compressor |
4,492 |
3,655 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
3,701 |
2,916 |
$23K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,658 |
1,331 |
$22K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,139 |
836 |
$16K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,232 |
1,510 |
$14K |
| K0003 |
Lightweight wheelchair |
1,277 |
920 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,244 |
1,890 |
$8K |
| 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) |
88 |
87 |
$8K |
| K0006 |
Heavy duty wheelchair |
625 |
458 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,730 |
2,798 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
525 |
465 |
$4K |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
695 |
514 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
819 |
676 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
425 |
375 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
311 |
241 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
1,065 |
894 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,422 |
1,138 |
$858.43 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
451 |
370 |
$857.79 |
| L0150 |
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) |
30 |
26 |
$795.19 |
| A7037 |
Tubing used with positive airway pressure device |
138 |
133 |
$676.86 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
30 |
26 |
$307.22 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
67 |
58 |
$298.69 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
68 |
49 |
$253.93 |
| E0156 |
Seat attachment, walker |
274 |
247 |
$162.10 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
223 |
174 |
$154.96 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
295 |
229 |
$145.86 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
29 |
24 |
$111.74 |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
24 |
12 |
$53.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
55 |
53 |
$21.66 |
| A7015 |
Aerosol mask, used with dme nebulizer |
41 |
39 |
$6.66 |