| 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 |
13,177 |
12,283 |
$1.07M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,583 |
7,059 |
$543K |
| E0570 |
Nebulizer, with compressor |
4,738 |
4,478 |
$283K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,081 |
2,023 |
$227K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,039 |
1,979 |
$206K |
| 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) |
1,475 |
1,371 |
$168K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,126 |
7,533 |
$131K |
| 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 |
3,551 |
3,362 |
$75K |
| A7035 |
Headgear used with positive airway pressure device |
3,313 |
3,205 |
$71K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,900 |
1,353 |
$69K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,841 |
1,817 |
$65K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
515 |
454 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,144 |
1,106 |
$58K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,746 |
1,659 |
$55K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,087 |
2,015 |
$51K |
| K0001 |
Standard wheelchair |
1,698 |
1,591 |
$41K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
880 |
792 |
$35K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
538 |
516 |
$33K |
| A7037 |
Tubing used with positive airway pressure device |
3,810 |
3,670 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,018 |
5,795 |
$20K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,709 |
1,653 |
$19K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
601 |
587 |
$11K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
261 |
164 |
$6K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
327 |
265 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
430 |
412 |
$4K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
56 |
41 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,757 |
1,704 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
29 |
26 |
$2K |
| K0003 |
Lightweight wheelchair |
31 |
28 |
$2K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
12 |
12 |
$684.30 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
19 |
13 |
$409.37 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$401.01 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
44 |
38 |
$385.68 |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
13 |
12 |
$312.23 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
114 |
110 |
$147.14 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
107 |
106 |
$48.58 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
13 |
$35.58 |