| 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 |
15,886 |
14,694 |
$1.50M |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,376 |
5,041 |
$405K |
| E0570 |
Nebulizer, with compressor |
6,013 |
5,875 |
$310K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,899 |
1,877 |
$158K |
| 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) |
1,055 |
999 |
$145K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,408 |
5,867 |
$143K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,863 |
4,511 |
$129K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,383 |
2,357 |
$97K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,687 |
1,680 |
$93K |
| E1392 |
Portable oxygen concentrator, rental |
3,568 |
3,403 |
$78K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,165 |
1,048 |
$53K |
| K0001 |
Standard wheelchair |
2,125 |
1,973 |
$46K |
| A7037 |
Tubing used with positive airway pressure device |
3,625 |
3,581 |
$43K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
233 |
233 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
2,787 |
2,750 |
$40K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,427 |
1,419 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,053 |
1,034 |
$21K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
760 |
759 |
$20K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,120 |
2,102 |
$9K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
323 |
315 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,845 |
1,806 |
$7K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
169 |
154 |
$6K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
75 |
75 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
84 |
83 |
$4K |
| E0156 |
Seat attachment, walker |
374 |
369 |
$3K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
39 |
37 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,598 |
1,581 |
$3K |
| 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 |
49 |
36 |
$1K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
38 |
38 |
$1K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
24 |
24 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
115 |
114 |
$768.59 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$615.88 |
| A7015 |
Aerosol mask, used with dme nebulizer |
457 |
449 |
$497.13 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
15 |
14 |
$166.26 |
| A7000 |
Canister, disposable, used with suction pump, each |
15 |
13 |
$158.76 |