| 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 |
15,937 |
15,828 |
$1.88M |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,040 |
9,963 |
$673K |
| 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) |
3,108 |
3,084 |
$533K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
446 |
446 |
$366K |
| K0001 |
Standard wheelchair |
7,987 |
7,968 |
$302K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12,233 |
12,125 |
$292K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,390 |
12,274 |
$271K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,478 |
3,467 |
$220K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
2,654 |
2,294 |
$147K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,437 |
1,430 |
$111K |
| E0570 |
Nebulizer, with compressor |
1,847 |
1,843 |
$62K |
| A7037 |
Tubing used with positive airway pressure device |
2,507 |
2,499 |
$56K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
750 |
750 |
$54K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
597 |
596 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
1,842 |
1,835 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,549 |
3,178 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
530 |
529 |
$36K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,256 |
1,255 |
$35K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
534 |
534 |
$27K |
| K0007 |
Extra heavy duty wheelchair |
184 |
184 |
$22K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,272 |
1,271 |
$20K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,022 |
2,003 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
559 |
559 |
$19K |
| E0156 |
Seat attachment, walker |
1,176 |
1,170 |
$18K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
417 |
417 |
$17K |
| K0006 |
Heavy duty wheelchair |
170 |
170 |
$16K |
| K0003 |
Lightweight wheelchair |
208 |
208 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
170 |
169 |
$9K |
| E0245 |
Tub stool or bench |
129 |
129 |
$7K |
| E0277 |
Powered pressure-reducing air mattress |
18 |
16 |
$6K |
| E0271 |
Mattress, innerspring |
366 |
365 |
$5K |
| E0310 |
Bed side rails, full length |
221 |
220 |
$3K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
14 |
14 |
$1K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
12 |
12 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
13 |
13 |
$1K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
94 |
94 |
$628.82 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$490.75 |
| E0305 |
Bed side rails, half length |
27 |
27 |
$314.82 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
14 |
$124.66 |