| 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 |
8,726 |
7,228 |
$180K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,632 |
2,241 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,109 |
874 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,454 |
1,916 |
$36K |
| E0570 |
Nebulizer, with compressor |
4,564 |
4,143 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,049 |
4,062 |
$23K |
| K0003 |
Lightweight wheelchair |
1,522 |
1,356 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,156 |
1,776 |
$15K |
| K0001 |
Standard wheelchair |
2,148 |
1,784 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
745 |
650 |
$13K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
897 |
718 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
528 |
385 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
921 |
726 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,259 |
678 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,981 |
2,306 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
1,277 |
981 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
178 |
129 |
$3K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
166 |
152 |
$2K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
101 |
90 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
514 |
409 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
108 |
97 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
165 |
142 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
39 |
36 |
$900.06 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
157 |
121 |
$841.98 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
30 |
25 |
$282.03 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
17 |
14 |
$202.43 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
26 |
24 |
$97.35 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
12 |
$96.39 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
62 |
54 |
$70.10 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
12 |
$24.12 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
110 |
49 |
$22.43 |