| 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 |
9,067 |
8,452 |
$420K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
788 |
700 |
$235K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
953 |
687 |
$159K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,920 |
2,749 |
$153K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,638 |
5,295 |
$151K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,671 |
3,460 |
$117K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,113 |
2,866 |
$88K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,395 |
2,280 |
$83K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,998 |
1,891 |
$64K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,451 |
3,250 |
$61K |
| K0001 |
Standard wheelchair |
3,440 |
3,199 |
$50K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,911 |
8,412 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,213 |
3,957 |
$33K |
| E0570 |
Nebulizer, with compressor |
2,129 |
1,923 |
$33K |
| 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) |
462 |
433 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
2,627 |
2,487 |
$26K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
601 |
511 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
996 |
942 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
1,311 |
1,252 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
241 |
226 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,189 |
2,052 |
$12K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
613 |
529 |
$9K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,101 |
1,858 |
$8K |
| 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 |
586 |
531 |
$8K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,663 |
1,566 |
$7K |
| K0003 |
Lightweight wheelchair |
385 |
326 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
749 |
699 |
$5K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
206 |
143 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
78 |
57 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
82 |
78 |
$2K |
| K0006 |
Heavy duty wheelchair |
110 |
97 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
31 |
26 |
$878.82 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
103 |
96 |
$327.83 |
| K0007 |
Extra heavy duty wheelchair |
13 |
13 |
$287.73 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
45 |
38 |
$145.17 |