| 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 |
159,971 |
149,841 |
$9.65M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
102,864 |
96,071 |
$3.93M |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
7,054 |
5,439 |
$853K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
32,498 |
27,244 |
$669K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
18,230 |
16,852 |
$581K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,849 |
7,397 |
$488K |
| E0601 |
Continuous positive airway pressure (cpap) device |
19,783 |
18,280 |
$472K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
3,598 |
3,395 |
$449K |
| 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) |
1,670 |
1,483 |
$187K |
| 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) |
3,142 |
2,874 |
$158K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,070 |
2,909 |
$136K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
13 |
12 |
$133K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
935 |
309 |
$93K |
| E0570 |
Nebulizer, with compressor |
2,272 |
1,990 |
$81K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,211 |
1,998 |
$73K |
| A7035 |
Headgear used with positive airway pressure device |
8,480 |
8,014 |
$71K |
| K0001 |
Standard wheelchair |
3,763 |
3,426 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,120 |
6,541 |
$54K |
| 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 |
6,506 |
5,973 |
$51K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,502 |
1,385 |
$50K |
| A7037 |
Tubing used with positive airway pressure device |
6,560 |
6,256 |
$50K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,321 |
3,129 |
$40K |
| E1392 |
Portable oxygen concentrator, rental |
2,757 |
2,363 |
$37K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
509 |
220 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,797 |
9,515 |
$28K |
| E2311 |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
32 |
25 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,633 |
4,402 |
$22K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
731 |
377 |
$21K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
144 |
115 |
$19K |
| K0007 |
Extra heavy duty wheelchair |
410 |
339 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
422 |
390 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,762 |
1,610 |
$13K |
| K0003 |
Lightweight wheelchair |
491 |
464 |
$11K |
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
14 |
12 |
$8K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
146 |
129 |
$5K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
275 |
214 |
$5K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
33 |
27 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
422 |
385 |
$2K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
54 |
48 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
40 |
38 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
340 |
318 |
$2K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
30 |
14 |
$1K |
| A4670 |
Automatic blood pressure monitor |
34 |
28 |
$1K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
14 |
12 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
12 |
12 |
$749.36 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
261 |
252 |
$614.41 |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
14 |
12 |
$332.09 |