| 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 |
13,604 |
12,201 |
$608K |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,183 |
9,486 |
$569K |
| 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) |
2,672 |
2,521 |
$365K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,451 |
4,147 |
$299K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,282 |
2,147 |
$204K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,148 |
4,631 |
$134K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
252 |
205 |
$97K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
7,628 |
7,069 |
$94K |
| K0001 |
Standard wheelchair |
7,424 |
6,741 |
$93K |
| A7037 |
Tubing used with positive airway pressure device |
5,515 |
5,197 |
$92K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,743 |
2,602 |
$75K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,807 |
1,665 |
$60K |
| E0570 |
Nebulizer, with compressor |
2,927 |
2,726 |
$57K |
| A7035 |
Headgear used with positive airway pressure device |
3,595 |
3,362 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,865 |
10,560 |
$53K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
940 |
900 |
$49K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,366 |
6,711 |
$35K |
| K0816 |
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,197 |
1,103 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
850 |
787 |
$28K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
765 |
711 |
$14K |
| K0006 |
Heavy duty wheelchair |
316 |
294 |
$13K |
| K0003 |
Lightweight wheelchair |
617 |
578 |
$11K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
489 |
435 |
$10K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,444 |
1,345 |
$8K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
91 |
88 |
$7K |
| E0245 |
Tub stool or bench |
202 |
177 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
736 |
684 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
220 |
205 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
118 |
98 |
$4K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
515 |
493 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
413 |
388 |
$3K |
| E0156 |
Seat attachment, walker |
426 |
392 |
$2K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
225 |
201 |
$2K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
18 |
18 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
914 |
871 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
40 |
40 |
$1K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
178 |
172 |
$905.22 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
18 |
16 |
$499.61 |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
17 |
12 |
$425.60 |
| A7000 |
Canister, disposable, used with suction pump, each |
17 |
12 |
$273.08 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
656 |
591 |
$54.48 |