| 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 |
8,093 |
7,317 |
$451K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
4,501 |
4,410 |
$121K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
933 |
893 |
$85K |
| K0001 |
Standard wheelchair |
7,648 |
7,045 |
$84K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
3,298 |
2,905 |
$72K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,618 |
1,483 |
$71K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,250 |
4,715 |
$57K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,309 |
1,223 |
$49K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,201 |
1,160 |
$43K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,304 |
1,212 |
$38K |
| A4927 |
Gloves, non-sterile, per 100 |
3,461 |
2,967 |
$37K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,259 |
1,029 |
$29K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
582 |
534 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
1,524 |
1,428 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
866 |
796 |
$25K |
| A7030 |
Full face mask used with positive airway pressure device, each |
325 |
305 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,368 |
1,256 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,164 |
2,152 |
$24K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
1,798 |
1,324 |
$19K |
| E0570 |
Nebulizer, with compressor |
1,671 |
1,471 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,256 |
2,084 |
$13K |
| A4217 |
Sterile water/saline, 500 ml |
212 |
167 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
230 |
219 |
$11K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
1,464 |
1,284 |
$10K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
795 |
566 |
$9K |
| E0156 |
Seat attachment, walker |
887 |
828 |
$8K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
108 |
101 |
$8K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
25 |
24 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
82 |
64 |
$7K |
| A7000 |
Canister, disposable, used with suction pump, each |
518 |
486 |
$7K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
156 |
152 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
625 |
573 |
$5K |
| A7526 |
Tracheostomy tube collar/holder, each |
102 |
79 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
676 |
623 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
108 |
103 |
$3K |
| A7002 |
Tubing, used with suction pump, each |
522 |
402 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
203 |
190 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
26 |
25 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
83 |
76 |
$2K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
16 |
13 |
$2K |
| 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) |
27 |
24 |
$2K |
| A4623 |
Tracheostomy, inner cannula |
13 |
12 |
$1K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
114 |
109 |
$1K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
18 |
12 |
$1K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
167 |
128 |
$613.11 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
23 |
12 |
$64.33 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
25 |
24 |
$33.79 |