| 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 |
24,636 |
20,611 |
$1.35M |
| E0601 |
Continuous positive airway pressure (cpap) device |
13,039 |
12,274 |
$651K |
| 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) |
4,042 |
3,721 |
$453K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,016 |
831 |
$433K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,137 |
4,495 |
$301K |
| 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 |
10,982 |
9,694 |
$259K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,255 |
2,986 |
$241K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,419 |
3,932 |
$214K |
| K0001 |
Standard wheelchair |
4,650 |
4,234 |
$157K |
| E0570 |
Nebulizer, with compressor |
5,719 |
5,138 |
$155K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,380 |
2,980 |
$139K |
| K0007 |
Extra heavy duty wheelchair |
971 |
849 |
$135K |
| A7035 |
Headgear used with positive airway pressure device |
5,327 |
4,973 |
$125K |
| E1392 |
Portable oxygen concentrator, rental |
6,015 |
4,942 |
$124K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,406 |
2,270 |
$112K |
| K0003 |
Lightweight wheelchair |
1,798 |
1,630 |
$91K |
| A7037 |
Tubing used with positive airway pressure device |
4,728 |
4,417 |
$81K |
| E0245 |
Tub stool or bench |
2,134 |
1,724 |
$72K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,426 |
2,238 |
$66K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
821 |
674 |
$50K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,899 |
1,573 |
$43K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
560 |
524 |
$41K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
1,941 |
1,745 |
$36K |
| E0244 |
Raised toilet seat |
783 |
642 |
$30K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
903 |
809 |
$29K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
657 |
582 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
850 |
806 |
$22K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,537 |
1,415 |
$22K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
262 |
240 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,559 |
6,015 |
$17K |
| A4623 |
Tracheostomy, inner cannula |
220 |
175 |
$15K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
572 |
550 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
475 |
461 |
$7K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
755 |
695 |
$7K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
315 |
298 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,026 |
1,952 |
$6K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
106 |
92 |
$5K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
102 |
94 |
$4K |
| E0156 |
Seat attachment, walker |
358 |
326 |
$3K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
74 |
62 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,288 |
2,068 |
$3K |
| A7000 |
Canister, disposable, used with suction pump, each |
230 |
181 |
$3K |
| 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) |
12 |
12 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
70 |
63 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
138 |
132 |
$2K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
14 |
$2K |
| E0168 |
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each |
13 |
12 |
$2K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
25 |
25 |
$2K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
74 |
68 |
$1K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
81 |
80 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
288 |
227 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
122 |
107 |
$952.13 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
180 |
141 |
$942.12 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
94 |
83 |
$713.96 |
| A7036 |
Chinstrap used with positive airway pressure device |
79 |
76 |
$686.37 |
| A4565 |
Slings |
87 |
84 |
$503.78 |
| E0550 |
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery |
107 |
100 |
$308.48 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
46 |
36 |
$281.33 |
| A7526 |
Tracheostomy tube collar/holder, each |
14 |
12 |
$192.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,174 |
1,051 |
$122.58 |
| E1399 |
Durable medical equipment, miscellaneous |
91 |
90 |
$17.31 |
| L3260 |
Surgical boot/shoe, each |
54 |
52 |
$0.00 |