| 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 |
13,609 |
13,536 |
$1.05M |
| E0601 |
Continuous positive airway pressure (cpap) device |
15,469 |
15,406 |
$1.04M |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,246 |
7,216 |
$572K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,982 |
4,970 |
$320K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,098 |
6,056 |
$297K |
| E0570 |
Nebulizer, with compressor |
9,366 |
9,308 |
$271K |
| 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) |
1,885 |
1,877 |
$254K |
| L2116 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment |
932 |
929 |
$180K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
996 |
990 |
$141K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,013 |
5,973 |
$132K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,277 |
3,261 |
$125K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,988 |
7,956 |
$114K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,775 |
2,608 |
$102K |
| A7035 |
Headgear used with positive airway pressure device |
7,493 |
7,455 |
$100K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
890 |
887 |
$88K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
4,137 |
4,121 |
$83K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,438 |
1,421 |
$79K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,416 |
10,350 |
$66K |
| 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 |
785 |
775 |
$59K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,134 |
1,133 |
$52K |
| A7037 |
Tubing used with positive airway pressure device |
4,456 |
4,445 |
$45K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
787 |
783 |
$39K |
| K0001 |
Standard wheelchair |
2,216 |
2,204 |
$37K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,783 |
2,780 |
$35K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
181 |
179 |
$20K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
521 |
512 |
$19K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
517 |
511 |
$19K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
382 |
379 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
980 |
965 |
$13K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
106 |
104 |
$12K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
165 |
164 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
213 |
211 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
386 |
384 |
$3K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,181 |
2,171 |
$2K |
| L1900 |
Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated |
13 |
12 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
159 |
159 |
$963.54 |
| E0561 |
Humidifier, non-heated, used with positive airway pressure device |
16 |
16 |
$432.16 |
| A7036 |
Chinstrap used with positive airway pressure device |
13 |
13 |
$146.16 |
| E0156 |
Seat attachment, walker |
12 |
12 |
$94.37 |