| 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 |
70,861 |
63,637 |
$2.92M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,515 |
3,086 |
$1.58M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,547 |
6,961 |
$215K |
| E1392 |
Portable oxygen concentrator, rental |
14,902 |
12,858 |
$215K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
23,520 |
21,011 |
$206K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
6,626 |
5,725 |
$159K |
| E0570 |
Nebulizer, with compressor |
8,411 |
7,365 |
$144K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,517 |
2,257 |
$97K |
| K0001 |
Standard wheelchair |
8,769 |
7,670 |
$90K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,553 |
3,271 |
$80K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,210 |
7,511 |
$69K |
| 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 |
1,574 |
837 |
$57K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,442 |
2,275 |
$54K |
| 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 |
1,576 |
840 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
3,149 |
2,882 |
$28K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,484 |
1,300 |
$28K |
| K0007 |
Extra heavy duty wheelchair |
667 |
533 |
$23K |
| 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) |
293 |
247 |
$17K |
| K0003 |
Lightweight wheelchair |
1,359 |
1,215 |
$15K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,236 |
2,003 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,607 |
5,179 |
$12K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
555 |
498 |
$11K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
589 |
514 |
$11K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,400 |
1,342 |
$10K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,598 |
2,409 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
268 |
255 |
$9K |
| K0006 |
Heavy duty wheelchair |
347 |
281 |
$8K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
353 |
308 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,449 |
3,184 |
$5K |
| E0156 |
Seat attachment, walker |
550 |
472 |
$3K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13 |
13 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
91 |
55 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,810 |
838 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
98 |
95 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
27 |
25 |
$1K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
195 |
162 |
$800.44 |
| A7037 |
Tubing used with positive airway pressure device |
81 |
78 |
$607.17 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
3,085 |
2,840 |
$471.70 |
| A7000 |
Canister, disposable, used with suction pump, each |
13 |
13 |
$338.81 |
| A7015 |
Aerosol mask, used with dme nebulizer |
174 |
162 |
$139.47 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
13 |
12 |
$132.01 |