| 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 |
6,979 |
6,430 |
$646K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,523 |
5,342 |
$312K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,173 |
3,762 |
$127K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,992 |
5,764 |
$120K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
387 |
344 |
$93K |
| E0570 |
Nebulizer, with compressor |
2,728 |
2,634 |
$83K |
| K0001 |
Standard wheelchair |
2,672 |
2,444 |
$79K |
| A7030 |
Full face mask used with positive airway pressure device, each |
910 |
861 |
$71K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
962 |
884 |
$67K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,111 |
1,077 |
$46K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,830 |
1,755 |
$45K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
332 |
307 |
$38K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,093 |
1,046 |
$35K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
344 |
332 |
$35K |
| 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) |
293 |
276 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,791 |
1,665 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
1,514 |
1,443 |
$29K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,077 |
987 |
$27K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,077 |
1,025 |
$21K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
40 |
37 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,062 |
1,031 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,944 |
1,885 |
$8K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
239 |
224 |
$7K |
| B9002 |
Enteral nutrition infusion pump, any type |
91 |
86 |
$6K |
| L3260 |
Surgical boot/shoe, each |
248 |
220 |
$6K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
158 |
149 |
$5K |
| A4565 |
Slings |
625 |
605 |
$4K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
25 |
24 |
$3K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
25 |
25 |
$3K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
184 |
170 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
70 |
67 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
245 |
237 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
25 |
25 |
$2K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
72 |
71 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
281 |
265 |
$1K |
| 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 |
15 |
12 |
$871.77 |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
14 |
13 |
$390.74 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
15 |
12 |
$285.80 |
| E0156 |
Seat attachment, walker |
25 |
25 |
$236.62 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
104 |
94 |
$232.55 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
29 |
27 |
$28.04 |