| 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 |
13,879 |
13,340 |
$748K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,831 |
5,620 |
$186K |
| 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 |
1,365 |
1,315 |
$176K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,285 |
2,170 |
$137K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,770 |
10,357 |
$124K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,024 |
3,836 |
$106K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,157 |
7,920 |
$95K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,948 |
1,867 |
$93K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,946 |
1,815 |
$91K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,202 |
2,102 |
$86K |
| 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) |
1,128 |
1,105 |
$77K |
| E0570 |
Nebulizer, with compressor |
9,075 |
8,819 |
$75K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,990 |
3,871 |
$55K |
| 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 |
425 |
406 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
3,247 |
3,109 |
$43K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
179 |
175 |
$39K |
| K0001 |
Standard wheelchair |
2,330 |
2,246 |
$39K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,917 |
1,815 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,736 |
1,664 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,018 |
6,642 |
$21K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
295 |
287 |
$18K |
| L3931 |
Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment |
282 |
263 |
$17K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
12 |
12 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,290 |
1,221 |
$10K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
375 |
358 |
$8K |
| 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) |
52 |
51 |
$6K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
55 |
51 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
335 |
284 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
177 |
162 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,522 |
1,470 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
281 |
271 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
351 |
320 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
24 |
24 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
233 |
219 |
$2K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
17 |
13 |
$1K |
| E0156 |
Seat attachment, walker |
14 |
13 |
$136.15 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
47 |
42 |
$94.98 |