| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
13,639 |
9,327 |
$4.79M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
5,937 |
3,091 |
$764K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,372 |
8,280 |
$342K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,483 |
7,479 |
$311K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
1,211 |
679 |
$207K |
| E0570 |
Nebulizer, with compressor |
3,901 |
3,306 |
$113K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,024 |
2,696 |
$85K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,448 |
2,121 |
$83K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,174 |
1,030 |
$76K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
656 |
590 |
$68K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
692 |
333 |
$52K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,025 |
1,816 |
$50K |
| A7035 |
Headgear used with positive airway pressure device |
2,328 |
2,069 |
$33K |
| 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) |
427 |
349 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
590 |
526 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,634 |
2,911 |
$25K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,627 |
1,484 |
$24K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
786 |
701 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,558 |
4,864 |
$19K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
349 |
302 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
1,404 |
1,162 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,336 |
1,203 |
$12K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
342 |
319 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
325 |
281 |
$9K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
39 |
38 |
$3K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
131 |
118 |
$1K |
| A4565 |
Slings |
120 |
111 |
$943.23 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
83 |
50 |
$594.10 |
| A4566 |
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment |
109 |
93 |
$580.28 |
| 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 |
29 |
25 |
$225.16 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
54 |
18 |
$95.40 |
| K0001 |
Standard wheelchair |
205 |
157 |
$28.48 |
| A7015 |
Aerosol mask, used with dme nebulizer |
34 |
28 |
$21.83 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
13 |
$9.73 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
16 |
$8.68 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
42 |
12 |
$0.60 |