| 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 |
4,007 |
3,333 |
$327K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,207 |
1,017 |
$90K |
| E0570 |
Nebulizer, with compressor |
1,768 |
1,601 |
$86K |
| A7031 |
Face mask interface, replacement for full face mask, each |
941 |
765 |
$57K |
| A7030 |
Full face mask used with positive airway pressure device, each |
623 |
521 |
$54K |
| 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 |
1,682 |
1,464 |
$37K |
| 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) |
280 |
233 |
$30K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
644 |
582 |
$24K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
574 |
550 |
$19K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
188 |
181 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
975 |
802 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
594 |
562 |
$14K |
| 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 |
131 |
126 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
613 |
539 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
293 |
253 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
600 |
514 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
215 |
172 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
555 |
473 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
74 |
62 |
$3K |
| K0003 |
Lightweight wheelchair |
67 |
50 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
57 |
55 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
914 |
773 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
368 |
313 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14 |
12 |
$1K |
| A4565 |
Slings |
192 |
175 |
$1K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
17 |
12 |
$846.24 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
14 |
13 |
$789.62 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
12 |
$662.26 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
51 |
40 |
$598.25 |
| L0172 |
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
13 |
12 |
$446.44 |
| L3260 |
Surgical boot/shoe, each |
13 |
13 |
$216.10 |