| 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 |
318,485 |
306,269 |
$19.79M |
| E0601 |
Continuous positive airway pressure (cpap) device |
80,225 |
78,586 |
$13.36M |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
124,137 |
121,181 |
$8.58M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
7,245 |
6,165 |
$7.74M |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
75,214 |
7,427 |
$7.24M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
14,594 |
13,953 |
$6.67M |
| K0001 |
Standard wheelchair |
213,322 |
208,561 |
$6.39M |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
52,353 |
51,450 |
$6.05M |
| A7030 |
Full face mask used with positive airway pressure device, each |
55,644 |
54,443 |
$5.18M |
| 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) |
11,936 |
11,452 |
$4.80M |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
91,039 |
89,284 |
$4.61M |
| 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) |
17,455 |
17,056 |
$4.38M |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
79,013 |
77,463 |
$4.37M |
| E0570 |
Nebulizer, with compressor |
55,050 |
54,555 |
$4.02M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
25,330 |
24,042 |
$3.30M |
| K0003 |
Lightweight wheelchair |
64,009 |
62,667 |
$2.88M |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
90,095 |
88,984 |
$2.73M |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
30,552 |
30,000 |
$2.47M |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
30,101 |
29,840 |
$2.28M |
| A7035 |
Headgear used with positive airway pressure device |
124,456 |
121,341 |
$2.12M |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
4,721 |
4,494 |
$2.12M |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
35,570 |
34,671 |
$2.11M |
| 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 |
114,989 |
111,979 |
$2.10M |
| A7031 |
Face mask interface, replacement for full face mask, each |
32,164 |
31,465 |
$2.07M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
135,617 |
128,426 |
$2.07M |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
6,477 |
5,876 |
$1.97M |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
24,641 |
23,874 |
$1.94M |
| K0007 |
Extra heavy duty wheelchair |
21,003 |
20,497 |
$1.90M |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
8,639 |
8,113 |
$1.82M |
| B9998 |
Noc for enteral supplies |
21,981 |
21,218 |
$1.80M |
| B4149 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
6,557 |
6,160 |
$1.69M |
| E1399 |
Durable medical equipment, miscellaneous |
3,045 |
2,890 |
$1.65M |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
11,880 |
11,014 |
$1.62M |
| A7037 |
Tubing used with positive airway pressure device |
95,643 |
94,460 |
$1.60M |
| E1392 |
Portable oxygen concentrator, rental |
44,883 |
43,629 |
$1.56M |
| E0652 |
Pneumatic compressor, segmental home model with calibrated gradient pressure |
3,836 |
3,345 |
$1.48M |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
23,913 |
23,440 |
$1.40M |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
5,551 |
5,204 |
$1.39M |
| A7038 |
Filter, disposable, used with positive airway pressure device |
112,767 |
110,321 |
$1.28M |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
9,176 |
8,813 |
$1.17M |
| K0006 |
Heavy duty wheelchair |
15,794 |
15,492 |
$971K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
7,772 |
7,158 |
$907K |
| E1060 |
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
13,752 |
13,445 |
$873K |
| A4623 |
Tracheostomy, inner cannula |
5,388 |
4,868 |
$841K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
6,690 |
6,548 |
$775K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
23,261 |
22,248 |
$759K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
27,894 |
27,728 |
$741K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
23,174 |
22,440 |
$699K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
8,057 |
7,782 |
$688K |
| E0830 |
Ambulatory traction device, all types, each |
5,827 |
5,716 |
$674K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
23,391 |
23,164 |
$665K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
62,177 |
60,879 |
$653K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
7,290 |
6,611 |
$637K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
4,341 |
4,193 |
$620K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
57,349 |
56,646 |
$525K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
6,100 |
6,024 |
$522K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
4,008 |
3,897 |
$513K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
17,027 |
16,570 |
$504K |
| B9002 |
Enteral nutrition infusion pump, any type |
17,719 |
17,226 |
$433K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
6,534 |
5,891 |
$405K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
24,128 |
23,580 |
$385K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
15,214 |
14,870 |
$379K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
2,342 |
2,325 |
$359K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
2,287 |
2,232 |
$356K |
| E0776 |
Iv pole |
21,801 |
21,227 |
$346K |
| E0849 |
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
8,267 |
8,146 |
$338K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
6,047 |
5,903 |
$325K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
3,672 |
3,329 |
$321K |
| E0156 |
Seat attachment, walker |
23,763 |
23,472 |
$315K |
| A7526 |
Tracheostomy tube collar/holder, each |
8,847 |
8,103 |
$295K |
| S5180 |
Home health respiratory therapy, initial evaluation |
5,638 |
5,526 |
$292K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
3,711 |
3,470 |
$283K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12,253 |
11,910 |
$244K |
| E0245 |
Tub stool or bench |
5,076 |
5,048 |
$225K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
1,473 |
1,011 |
$220K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
8,053 |
7,326 |
$216K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
6,661 |
6,536 |
$209K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
3,209 |
3,000 |
$208K |
| E0197 |
Air pressure pad for mattress, standard mattress length and width |
1,487 |
1,481 |
$192K |
| E0244 |
Raised toilet seat |
5,905 |
5,864 |
$180K |
| E0241 |
Bath tub wall rail, each |
8,507 |
8,245 |
$151K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
18,349 |
16,627 |
$141K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
2,684 |
2,511 |
$141K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
10,790 |
10,731 |
$130K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
4,669 |
4,620 |
$130K |
| E0635 |
Patient lift, electric with seat or sling |
1,549 |
1,537 |
$128K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
3,529 |
3,333 |
$123K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
1,718 |
1,709 |
$118K |
| A4605 |
Tracheal suction catheter, closed system, each |
736 |
663 |
$110K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
3,414 |
3,315 |
$107K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
12,004 |
11,760 |
$106K |
| E0248 |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
250 |
248 |
$98K |
| E0274 |
Over-bed table |
7,961 |
7,768 |
$93K |
| E0619 |
Apnea monitor, with recording feature |
744 |
708 |
$92K |
| A4217 |
Sterile water/saline, 500 ml |
2,882 |
2,624 |
$91K |
| K0002 |
Standard hemi (low seat) wheelchair |
2,402 |
2,357 |
$91K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,230 |
3,181 |
$83K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
1,790 |
1,616 |
$83K |
| A7000 |
Canister, disposable, used with suction pump, each |
3,526 |
2,712 |
$80K |
| A4618 |
Breathing circuits |
2,883 |
2,456 |
$70K |
| L8501 |
Tracheostomy speaking valve |
957 |
909 |
$65K |
| A7036 |
Chinstrap used with positive airway pressure device |
8,017 |
7,899 |
$64K |
| E0705 |
Transfer device, any type, each |
2,115 |
2,069 |
$64K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
1,448 |
1,437 |
$64K |
| E0246 |
Transfer tub rail attachment |
1,505 |
1,500 |
$59K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
602 |
535 |
$56K |
| E0277 |
Powered pressure-reducing air mattress |
282 |
251 |
$53K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,974 |
1,956 |
$53K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
1,670 |
1,633 |
$50K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
683 |
666 |
$48K |
| E0621 |
Sling or seat, patient lift, canvas or nylon |
798 |
779 |
$44K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
7,367 |
7,232 |
$36K |
| E0940 |
Trapeze bar, free standing, complete with grab bar |
2,195 |
2,145 |
$35K |
| 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 |
289 |
287 |
$35K |
| A7525 |
Tracheostomy mask, each |
3,583 |
3,387 |
$34K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
461 |
393 |
$29K |
| A7015 |
Aerosol mask, used with dme nebulizer |
20,542 |
20,222 |
$25K |
| E0484 |
Oscillatory positive expiratory pressure device, non-electric, any type, each |
348 |
345 |
$24K |
| E0154 |
Platform attachment, walker, each |
477 |
469 |
$24K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
1,243 |
1,185 |
$20K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
1,093 |
1,081 |
$20K |
| E0243 |
Toilet rail, each |
638 |
634 |
$19K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
433 |
391 |
$18K |
| E0110 |
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips |
289 |
289 |
$15K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
6,746 |
6,433 |
$15K |
| B4158 |
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit |
1,100 |
988 |
$15K |
| A7002 |
Tubing, used with suction pump, each |
3,040 |
2,867 |
$14K |
| E0184 |
Dry pressure mattress |
1,302 |
1,279 |
$13K |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
2,108 |
1,986 |
$13K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
315 |
314 |
$11K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
122 |
99 |
$11K |
| K0004 |
High strength, lightweight wheelchair |
340 |
326 |
$11K |
| E0199 |
Dry pressure pad for mattress, standard mattress length and width |
576 |
575 |
$10K |
| E2602 |
General use wheelchair seat cushion, width 22 inches or greater, any depth |
148 |
148 |
$10K |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
336 |
334 |
$10K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
2,329 |
2,271 |
$9K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
325 |
320 |
$9K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
25 |
25 |
$9K |
| A7012 |
Water collection device, used with large volume nebulizer |
1,796 |
1,694 |
$8K |
| A4452 |
Tape, waterproof, per 18 square inches |
716 |
706 |
$8K |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
213 |
212 |
$8K |
| E0191 |
Heel or elbow protector, each |
206 |
205 |
$7K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
9,270 |
9,066 |
$7K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
763 |
705 |
$6K |
| A4625 |
Tracheostomy care kit for new tracheostomy |
119 |
102 |
$6K |
| E2208 |
Wheelchair accessory, cylinder tank carrier, each |
315 |
313 |
$6K |
| E1356 |
Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each |
163 |
156 |
$6K |
| E0271 |
Mattress, innerspring |
714 |
696 |
$5K |
| B4103 |
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
29 |
25 |
$4K |
| A4660 |
Sphygmomanometer/blood pressure apparatus with cuff and stethoscope |
53 |
53 |
$4K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
114 |
110 |
$3K |
| E0305 |
Bed side rails, half length |
752 |
739 |
$3K |
| A4211 |
Supplies for self-administered injections |
442 |
418 |
$3K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
283 |
260 |
$2K |
| E1093 |
Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests |
24 |
24 |
$2K |
| E0310 |
Bed side rails, full length |
323 |
320 |
$2K |
| E0325 |
Urinal; male, jug-type, any material |
249 |
244 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
157 |
157 |
$2K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
50 |
50 |
$1K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
53 |
51 |
$942.93 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
12 |
12 |
$726.46 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
28 |
27 |
$692.90 |