| 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 |
50,146 |
44,202 |
$5.23M |
| E0601 |
Continuous positive airway pressure (cpap) device |
25,052 |
22,310 |
$1.41M |
| A7030 |
Full face mask used with positive airway pressure device, each |
11,506 |
10,285 |
$1.18M |
| E0570 |
Nebulizer, with compressor |
21,603 |
19,523 |
$752K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
21,134 |
18,574 |
$550K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
26,706 |
23,602 |
$532K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14,956 |
13,428 |
$513K |
| 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) |
3,360 |
2,885 |
$479K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
5,323 |
4,967 |
$376K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
3,543 |
3,348 |
$376K |
| E1392 |
Portable oxygen concentrator, rental |
16,104 |
14,099 |
$372K |
| E0619 |
Apnea monitor, with recording feature |
1,521 |
1,329 |
$365K |
| K0001 |
Standard wheelchair |
12,118 |
10,746 |
$351K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,912 |
4,431 |
$344K |
| A7035 |
Headgear used with positive airway pressure device |
13,423 |
11,980 |
$335K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
6,397 |
5,837 |
$289K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
7,654 |
7,039 |
$251K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,982 |
1,843 |
$228K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,332 |
5,789 |
$221K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
10,358 |
9,396 |
$202K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,872 |
1,755 |
$196K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
1,611 |
1,564 |
$162K |
| 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) |
635 |
450 |
$152K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
21,100 |
18,970 |
$136K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
343 |
318 |
$135K |
| K0007 |
Extra heavy duty wheelchair |
1,601 |
1,384 |
$132K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,237 |
2,911 |
$130K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
9,995 |
9,022 |
$123K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
1,086 |
1,033 |
$113K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,257 |
2,108 |
$104K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,624 |
1,365 |
$89K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
2,445 |
2,293 |
$87K |
| E0425 |
Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
795 |
724 |
$87K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
682 |
630 |
$83K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
8,389 |
7,413 |
$74K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
1,937 |
1,708 |
$62K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,227 |
1,990 |
$58K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
1,750 |
1,614 |
$50K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
1,538 |
1,423 |
$50K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,680 |
1,538 |
$50K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
83 |
77 |
$47K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,779 |
1,557 |
$46K |
| E0218 |
Fluid circulating cold pad with pump, any type |
324 |
303 |
$45K |
| K0006 |
Heavy duty wheelchair |
557 |
553 |
$25K |
| V5261 |
Hearing aid, digital, binaural, bte |
30 |
25 |
$22K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
208 |
187 |
$17K |
| E0156 |
Seat attachment, walker |
1,452 |
1,318 |
$17K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
185 |
168 |
$15K |
| K0003 |
Lightweight wheelchair |
371 |
334 |
$14K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
873 |
778 |
$9K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
294 |
286 |
$8K |
| E1238 |
Wheelchair, pediatric size, folding, adjustable, without seating system |
55 |
53 |
$7K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
270 |
267 |
$7K |
| A7015 |
Aerosol mask, used with dme nebulizer |
4,535 |
4,159 |
$6K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
720 |
652 |
$6K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
24 |
24 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
275 |
264 |
$6K |
| A7000 |
Canister, disposable, used with suction pump, each |
459 |
385 |
$4K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
137 |
95 |
$4K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
246 |
235 |
$4K |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
113 |
106 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,612 |
1,364 |
$4K |
| E0912 |
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar |
160 |
101 |
$3K |
| A7002 |
Tubing, used with suction pump, each |
587 |
512 |
$3K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
361 |
300 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
204 |
172 |
$2K |
| V5264 |
Ear mold/insert, not disposable, any type |
34 |
28 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,134 |
1,963 |
$2K |
| E0277 |
Powered pressure-reducing air mattress |
14 |
13 |
$2K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
77 |
51 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
886 |
833 |
$2K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
12 |
12 |
$1K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
40 |
36 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
80 |
52 |
$1K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
27 |
27 |
$1K |
| E0244 |
Raised toilet seat |
40 |
39 |
$879.03 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
146 |
114 |
$552.05 |
| A7526 |
Tracheostomy tube collar/holder, each |
12 |
12 |
$549.20 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
12 |
12 |
$380.85 |
| 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 |
12 |
12 |
$308.05 |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
47 |
40 |
$238.88 |