| 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 |
9,522 |
9,003 |
$365K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,821 |
1,659 |
$231K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
5,762 |
5,586 |
$156K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,243 |
1,115 |
$123K |
| E0570 |
Nebulizer, with compressor |
13,209 |
12,198 |
$108K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,554 |
1,521 |
$70K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,839 |
2,663 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,840 |
6,396 |
$53K |
| K0001 |
Standard wheelchair |
6,603 |
6,419 |
$52K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
341 |
302 |
$44K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,846 |
1,805 |
$37K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,793 |
2,551 |
$26K |
| A4554 |
Disposable underpads, all sizes |
499 |
431 |
$23K |
| A7030 |
Full face mask used with positive airway pressure device, each |
599 |
550 |
$22K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
837 |
813 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,250 |
1,152 |
$13K |
| E1260 |
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest |
81 |
78 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
324 |
320 |
$9K |
| E0184 |
Dry pressure mattress |
267 |
260 |
$8K |
| K0007 |
Extra heavy duty wheelchair |
324 |
314 |
$8K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
1,019 |
974 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,567 |
1,443 |
$8K |
| K0002 |
Standard hemi (low seat) wheelchair |
384 |
384 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
289 |
254 |
$7K |
| E0277 |
Powered pressure-reducing air mattress |
78 |
77 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,225 |
1,580 |
$4K |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
197 |
195 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
151 |
149 |
$3K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
27 |
25 |
$3K |
| A4259 |
Lancets, per box of 100 |
2,388 |
2,180 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
303 |
281 |
$2K |
| E0607 |
Home blood glucose monitor |
76 |
69 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
319 |
309 |
$2K |
| K0004 |
High strength, lightweight wheelchair |
99 |
98 |
$2K |
| E0156 |
Seat attachment, walker |
383 |
369 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
424 |
408 |
$819.41 |
| E0168 |
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each |
134 |
130 |
$778.59 |
| E0245 |
Tub stool or bench |
12 |
12 |
$577.10 |
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
22 |
12 |
$361.69 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
146 |
131 |
$287.60 |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
13 |
12 |
$141.86 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
58 |
50 |
$125.11 |