| 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 |
9,533 |
8,617 |
$605K |
| E0570 |
Nebulizer, with compressor |
5,420 |
4,811 |
$273K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,705 |
3,383 |
$242K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,232 |
1,189 |
$101K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,560 |
1,414 |
$85K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,482 |
2,281 |
$77K |
| A7030 |
Full face mask used with positive airway pressure device, each |
992 |
900 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,376 |
5,776 |
$74K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,563 |
2,471 |
$63K |
| A4927 |
Gloves, non-sterile, per 100 |
5,590 |
4,779 |
$60K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
389 |
359 |
$55K |
| A7035 |
Headgear used with positive airway pressure device |
2,461 |
2,262 |
$48K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,309 |
1,268 |
$48K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
570 |
545 |
$44K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,234 |
1,172 |
$39K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
472 |
453 |
$38K |
| K0001 |
Standard wheelchair |
2,552 |
2,032 |
$37K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
819 |
759 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,461 |
3,145 |
$21K |
| E1392 |
Portable oxygen concentrator, rental |
1,147 |
1,079 |
$21K |
| 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) |
230 |
203 |
$19K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
350 |
345 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
473 |
398 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
169 |
147 |
$8K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
189 |
154 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
757 |
702 |
$8K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
44 |
42 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
77 |
77 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
809 |
731 |
$6K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
75 |
69 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
223 |
195 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
316 |
297 |
$3K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
39 |
37 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,325 |
1,289 |
$2K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
37 |
36 |
$2K |
| A7000 |
Canister, disposable, used with suction pump, each |
84 |
74 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
107 |
90 |
$2K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
31 |
26 |
$1K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$801.19 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
27 |
25 |
$759.55 |
| A7037 |
Tubing used with positive airway pressure device |
33 |
28 |
$533.88 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$523.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
527 |
507 |
$365.99 |
| E0156 |
Seat attachment, walker |
17 |
12 |
$120.04 |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
17 |
12 |
$91.04 |