| 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 |
15,891 |
14,900 |
$1.41M |
| K0004 |
High strength, lightweight wheelchair |
14,253 |
12,773 |
$661K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25,256 |
14,516 |
$357K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,694 |
7,730 |
$265K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,062 |
3,743 |
$211K |
| 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) |
1,572 |
1,455 |
$128K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
17,024 |
15,279 |
$120K |
| E0277 |
Powered pressure-reducing air mattress |
709 |
626 |
$117K |
| K0007 |
Extra heavy duty wheelchair |
1,793 |
1,632 |
$116K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,635 |
1,492 |
$73K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
769 |
716 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
612 |
554 |
$36K |
| K0003 |
Lightweight wheelchair |
594 |
506 |
$21K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
723 |
673 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
199 |
174 |
$18K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
197 |
181 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
652 |
599 |
$11K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
2,448 |
2,004 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
610 |
550 |
$10K |
| 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 |
69 |
62 |
$8K |
| E0570 |
Nebulizer, with compressor |
496 |
404 |
$7K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
70 |
56 |
$4K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
99 |
97 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
388 |
345 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
580 |
536 |
$1K |
| E1353 |
Regulator |
11,371 |
10,566 |
$1K |
| E1399 |
Durable medical equipment, miscellaneous |
51 |
44 |
$940.00 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
12 |
12 |
$868.61 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
12 |
$790.44 |
| K0001 |
Standard wheelchair |
12 |
12 |
$162.87 |
| A4615 |
Cannula, nasal |
636 |
577 |
$91.52 |
| A4616 |
Tubing (oxygen), per foot |
101 |
83 |
$3.19 |