| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,941 |
3,883 |
$320K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,339 |
7,265 |
$283K |
| E1035 |
Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs |
3,468 |
3,440 |
$277K |
| K0002 |
Standard hemi (low seat) wheelchair |
9,968 |
9,866 |
$133K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
4,610 |
4,582 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,049 |
6,980 |
$55K |
| E0570 |
Nebulizer, with compressor |
4,334 |
4,274 |
$53K |
| L0464 |
Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
707 |
703 |
$37K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,207 |
1,204 |
$15K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
447 |
444 |
$12K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
493 |
490 |
$11K |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
840 |
837 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
154 |
148 |
$8K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
455 |
452 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
532 |
523 |
$3K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
464 |
458 |
$3K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
67 |
43 |
$3K |
| E0156 |
Seat attachment, walker |
796 |
795 |
$3K |
| E0291 |
Hospital bed, fixed height, without side rails, without mattress |
453 |
438 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
146 |
145 |
$2K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
413 |
407 |
$2K |
| K0001 |
Standard wheelchair |
69 |
62 |
$1K |
| E0245 |
Tub stool or bench |
13 |
13 |
$523.84 |
| A7037 |
Tubing used with positive airway pressure device |
27 |
26 |
$406.89 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
36 |
36 |
$139.68 |
| A7015 |
Aerosol mask, used with dme nebulizer |
41 |
41 |
$53.87 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
24 |
24 |
$48.07 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15 |
14 |
$40.81 |