| 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 |
70,456 |
65,772 |
$3.60M |
| E0601 |
Continuous positive airway pressure (cpap) device |
48,987 |
46,844 |
$2.29M |
| 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) |
12,243 |
11,450 |
$1.31M |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,136 |
9,322 |
$872K |
| A7030 |
Full face mask used with positive airway pressure device, each |
11,642 |
10,560 |
$575K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,072 |
999 |
$553K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25,747 |
23,847 |
$499K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
21,659 |
19,938 |
$493K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13,510 |
12,480 |
$413K |
| E1392 |
Portable oxygen concentrator, rental |
29,310 |
26,325 |
$364K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,621 |
2,465 |
$359K |
| A7035 |
Headgear used with positive airway pressure device |
17,378 |
16,064 |
$291K |
| 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) |
1,568 |
1,472 |
$286K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
6,049 |
5,673 |
$269K |
| A7031 |
Face mask interface, replacement for full face mask, each |
8,953 |
7,881 |
$228K |
| K0001 |
Standard wheelchair |
7,169 |
6,766 |
$174K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
5,306 |
4,955 |
$163K |
| E0570 |
Nebulizer, with compressor |
8,256 |
7,547 |
$144K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
5,549 |
4,946 |
$116K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
5,056 |
4,566 |
$112K |
| K0003 |
Lightweight wheelchair |
2,134 |
1,959 |
$100K |
| 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 |
4,837 |
4,574 |
$93K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,721 |
1,448 |
$87K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
31,312 |
27,669 |
$73K |
| E0245 |
Tub stool or bench |
1,664 |
1,562 |
$49K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
492 |
424 |
$46K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,238 |
1,161 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
2,290 |
2,098 |
$31K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
419 |
384 |
$26K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
824 |
745 |
$25K |
| K0007 |
Extra heavy duty wheelchair |
256 |
234 |
$25K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,883 |
1,755 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
7,486 |
6,639 |
$20K |
| E0248 |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
233 |
210 |
$14K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
336 |
331 |
$13K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
43 |
38 |
$9K |
| T4541 |
Incontinence product, disposable underpad, large, each |
292 |
239 |
$9K |
| A7036 |
Chinstrap used with positive airway pressure device |
952 |
890 |
$7K |
| E0156 |
Seat attachment, walker |
717 |
658 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
993 |
871 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
69 |
64 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,253 |
1,202 |
$4K |
| A4927 |
Gloves, non-sterile, per 100 |
280 |
222 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,335 |
2,153 |
$3K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
28 |
24 |
$2K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
81 |
65 |
$2K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
122 |
106 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
17 |
13 |
$1K |
| K0006 |
Heavy duty wheelchair |
27 |
27 |
$518.38 |
| A4623 |
Tracheostomy, inner cannula |
14 |
12 |
$425.96 |
| A7002 |
Tubing, used with suction pump, each |
59 |
38 |
$222.37 |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
15 |
12 |
$220.10 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
28 |
26 |
$219.45 |
| A7000 |
Canister, disposable, used with suction pump, each |
18 |
12 |
$143.19 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
186 |
168 |
$17.40 |
| E1356 |
Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each |
910 |
894 |
$0.00 |