| 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 |
12,268 |
10,552 |
$932K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,103 |
9,735 |
$466K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,183 |
2,759 |
$213K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
11,891 |
10,514 |
$181K |
| K0001 |
Standard wheelchair |
6,526 |
5,546 |
$160K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,542 |
3,022 |
$156K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,148 |
5,262 |
$149K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,244 |
1,995 |
$141K |
| 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) |
981 |
832 |
$109K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,651 |
6,609 |
$103K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,143 |
2,770 |
$100K |
| E0570 |
Nebulizer, with compressor |
4,868 |
3,911 |
$99K |
| A7035 |
Headgear used with positive airway pressure device |
5,074 |
4,402 |
$88K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,352 |
1,236 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,442 |
2,120 |
$69K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,011 |
1,708 |
$66K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
453 |
422 |
$44K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,355 |
3,775 |
$41K |
| 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 |
1,890 |
1,625 |
$41K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,592 |
1,381 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,552 |
6,548 |
$36K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,664 |
1,430 |
$25K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
235 |
201 |
$19K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,855 |
1,568 |
$12K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
357 |
272 |
$12K |
| K0007 |
Extra heavy duty wheelchair |
164 |
161 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
560 |
523 |
$7K |
| A4670 |
Automatic blood pressure monitor |
123 |
114 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
342 |
306 |
$6K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
51 |
50 |
$5K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
40 |
37 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
105 |
98 |
$4K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
25 |
25 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13 |
13 |
$1K |
| E0245 |
Tub stool or bench |
27 |
26 |
$925.75 |
| E0156 |
Seat attachment, walker |
60 |
51 |
$871.37 |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$784.14 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
482 |
322 |
$752.38 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
17 |
13 |
$488.96 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
98 |
76 |
$178.84 |
| A7015 |
Aerosol mask, used with dme nebulizer |
96 |
90 |
$109.53 |
| A7000 |
Canister, disposable, used with suction pump, each |
19 |
12 |
$80.54 |
| A7002 |
Tubing, used with suction pump, each |
25 |
13 |
$44.41 |