| 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 |
51,684 |
48,563 |
$2.60M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,567 |
2,420 |
$1.36M |
| E0570 |
Nebulizer, with compressor |
7,347 |
6,970 |
$412K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,485 |
1,432 |
$285K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,414 |
6,117 |
$229K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,612 |
15,431 |
$173K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,393 |
2,217 |
$102K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,835 |
1,775 |
$97K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,171 |
3,015 |
$94K |
| E1392 |
Portable oxygen concentrator, rental |
3,571 |
3,283 |
$74K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,700 |
2,635 |
$63K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,635 |
1,589 |
$58K |
| K0001 |
Standard wheelchair |
3,115 |
2,926 |
$43K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
343 |
329 |
$40K |
| T4541 |
Incontinence product, disposable underpad, large, each |
913 |
860 |
$40K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
4,063 |
3,957 |
$40K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
303 |
287 |
$34K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,042 |
953 |
$33K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,367 |
1,344 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,581 |
2,508 |
$31K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
818 |
782 |
$24K |
| 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 |
319 |
299 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,797 |
7,472 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
2,214 |
2,133 |
$18K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
186 |
179 |
$17K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
466 |
429 |
$16K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
94 |
81 |
$13K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,223 |
1,142 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
242 |
238 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
648 |
610 |
$7K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
210 |
194 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,035 |
1,005 |
$4K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
165 |
160 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
26 |
26 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
232 |
214 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,573 |
1,533 |
$2K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
42 |
41 |
$1K |
| K0003 |
Lightweight wheelchair |
88 |
76 |
$841.32 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
25 |
24 |
$680.49 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
51 |
43 |
$645.71 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
52 |
51 |
$644.42 |
| K0006 |
Heavy duty wheelchair |
14 |
12 |
$401.92 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
24 |
24 |
$75.50 |