| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,499 |
7,011 |
$432K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,388 |
6,716 |
$364K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,695 |
2,563 |
$239K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,593 |
2,388 |
$226K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,281 |
4,909 |
$177K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,111 |
2,883 |
$176K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
3,769 |
3,689 |
$122K |
| A7035 |
Headgear used with positive airway pressure device |
4,827 |
4,512 |
$102K |
| K0001 |
Standard wheelchair |
7,364 |
6,790 |
$90K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,970 |
1,793 |
$62K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,696 |
2,306 |
$60K |
| 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) |
546 |
512 |
$54K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,868 |
4,361 |
$53K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,739 |
1,619 |
$49K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,060 |
6,593 |
$45K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,714 |
1,452 |
$44K |
| E1392 |
Portable oxygen concentrator, rental |
1,518 |
1,365 |
$29K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,040 |
959 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,631 |
2,444 |
$27K |
| E0570 |
Nebulizer, with compressor |
1,699 |
1,464 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,135 |
2,097 |
$21K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
993 |
892 |
$20K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
1,221 |
844 |
$14K |
| E0156 |
Seat attachment, walker |
1,472 |
1,362 |
$14K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
1,494 |
1,268 |
$8K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
131 |
93 |
$8K |
| A4623 |
Tracheostomy, inner cannula |
75 |
63 |
$7K |
| A7000 |
Canister, disposable, used with suction pump, each |
482 |
439 |
$7K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
16 |
12 |
$7K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
648 |
584 |
$6K |
| A7002 |
Tubing, used with suction pump, each |
883 |
669 |
$6K |
| A4927 |
Gloves, non-sterile, per 100 |
461 |
409 |
$5K |
| K0003 |
Lightweight wheelchair |
170 |
159 |
$4K |
| A7526 |
Tracheostomy tube collar/holder, each |
49 |
39 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
60 |
48 |
$2K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
36 |
24 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
563 |
307 |
$2K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
312 |
245 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
112 |
87 |
$1K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
105 |
101 |
$994.31 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
47 |
44 |
$950.79 |
| T4541 |
Incontinence product, disposable underpad, large, each |
26 |
25 |
$732.02 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
14 |
13 |
$463.94 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
12 |
$313.87 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
27 |
24 |
$251.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
241 |
224 |
$244.45 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
14 |
12 |
$20.76 |