| 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 |
2,119 |
1,725 |
$156K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
2,056 |
1,856 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,135 |
944 |
$56K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
200 |
193 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,171 |
973 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,480 |
1,173 |
$20K |
| K0001 |
Standard wheelchair |
1,396 |
1,093 |
$17K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
647 |
612 |
$14K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
456 |
427 |
$13K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
494 |
369 |
$13K |
| E0570 |
Nebulizer, with compressor |
420 |
306 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
398 |
329 |
$6K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
190 |
171 |
$5K |
| L3260 |
Surgical boot/shoe, each |
61 |
56 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
409 |
374 |
$2K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
61 |
54 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
20 |
15 |
$901.30 |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
13 |
13 |
$900.52 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
19 |
12 |
$179.75 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
167 |
106 |
$171.08 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
13 |
$29.10 |