| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
12,473 |
12,249 |
$2.76M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
26,745 |
25,408 |
$2.06M |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
4,842 |
4,709 |
$1.01M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,075 |
951 |
$909K |
| E0601 |
Continuous positive airway pressure (cpap) device |
21,348 |
20,506 |
$856K |
| E0570 |
Nebulizer, with compressor |
18,932 |
18,163 |
$633K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,052 |
5,795 |
$508K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14,062 |
13,512 |
$506K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
9,508 |
9,329 |
$454K |
| E1392 |
Portable oxygen concentrator, rental |
14,158 |
13,502 |
$446K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,503 |
6,253 |
$376K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
6,825 |
6,579 |
$376K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
6,447 |
6,207 |
$300K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,722 |
1,656 |
$285K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
4,805 |
4,598 |
$277K |
| A7035 |
Headgear used with positive airway pressure device |
11,563 |
11,121 |
$224K |
| 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 |
6,816 |
6,526 |
$208K |
| 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) |
1,645 |
1,586 |
$174K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
2,739 |
2,676 |
$159K |
| 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) |
631 |
566 |
$158K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
7,197 |
7,068 |
$148K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
2,742 |
2,662 |
$143K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,801 |
3,594 |
$142K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,072 |
2,041 |
$118K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
19,233 |
18,400 |
$106K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
1,619 |
1,579 |
$105K |
| L0628 |
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,449 |
1,393 |
$94K |
| A4670 |
Automatic blood pressure monitor |
1,268 |
1,239 |
$90K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
540 |
524 |
$87K |
| E0245 |
Tub stool or bench |
1,333 |
1,274 |
$86K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,344 |
6,060 |
$75K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
1,036 |
1,019 |
$65K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,161 |
2,047 |
$65K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,537 |
1,513 |
$46K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
1,918 |
1,864 |
$45K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
436 |
332 |
$27K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
223 |
215 |
$26K |
| 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 |
181 |
175 |
$26K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
202 |
194 |
$23K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
844 |
816 |
$21K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
472 |
416 |
$20K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
1,099 |
1,043 |
$19K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
114 |
110 |
$19K |
| E0156 |
Seat attachment, walker |
1,076 |
1,038 |
$18K |
| L3260 |
Surgical boot/shoe, each |
1,741 |
1,702 |
$16K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
702 |
583 |
$14K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
112 |
105 |
$8K |
| E0244 |
Raised toilet seat |
139 |
133 |
$8K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
121 |
111 |
$7K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
57 |
56 |
$6K |
| T4541 |
Incontinence product, disposable underpad, large, each |
111 |
107 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
723 |
681 |
$6K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
61 |
58 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
202 |
187 |
$3K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
55 |
51 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,520 |
1,507 |
$2K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13 |
13 |
$2K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
12 |
12 |
$2K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
128 |
123 |
$2K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
16 |
13 |
$1K |
| L3265 |
Plastazote sandal, each |
26 |
24 |
$471.52 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$157.52 |