| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,905 |
9,260 |
$239K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,916 |
5,397 |
$152K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,334 |
2,679 |
$127K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,736 |
5,378 |
$102K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,596 |
9,048 |
$81K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,155 |
1,879 |
$67K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,014 |
1,749 |
$46K |
| 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) |
655 |
528 |
$36K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,966 |
1,654 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
3,674 |
3,050 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,582 |
1,337 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
3,947 |
3,250 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,930 |
8,033 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,113 |
3,233 |
$20K |
| K0001 |
Standard wheelchair |
3,459 |
2,696 |
$19K |
| E0570 |
Nebulizer, with compressor |
3,345 |
2,914 |
$16K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,096 |
815 |
$12K |
| K0003 |
Lightweight wheelchair |
1,889 |
1,531 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,413 |
2,065 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,457 |
1,204 |
$7K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
692 |
556 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
452 |
376 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
544 |
423 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
351 |
265 |
$5K |
| K0006 |
Heavy duty wheelchair |
337 |
266 |
$4K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
914 |
613 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
998 |
735 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
147 |
94 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
228 |
208 |
$1K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
2,704 |
970 |
$1K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
219 |
160 |
$993.46 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
3,031 |
1,120 |
$687.90 |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
16 |
12 |
$591.78 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
109 |
88 |
$560.17 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
2,163 |
789 |
$280.66 |
| E0305 |
Bed side rails, half length |
415 |
305 |
$230.83 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
84 |
79 |
$188.17 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
23 |
15 |
$161.56 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
16 |
12 |
$149.35 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
29 |
24 |
$134.83 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
1,322 |
454 |
$133.76 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
283 |
194 |
$104.40 |