| 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 |
22,217 |
19,038 |
$1.51M |
| E0601 |
Continuous positive airway pressure (cpap) device |
14,301 |
12,926 |
$828K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,006 |
747 |
$712K |
| A7030 |
Full face mask used with positive airway pressure device, each |
8,368 |
7,234 |
$690K |
| 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) |
4,564 |
3,967 |
$477K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,973 |
6,135 |
$392K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12,888 |
11,243 |
$391K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,727 |
3,353 |
$332K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,915 |
6,750 |
$296K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
9,160 |
7,123 |
$273K |
| K0001 |
Standard wheelchair |
14,348 |
11,527 |
$231K |
| E0570 |
Nebulizer, with compressor |
7,056 |
6,067 |
$218K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,293 |
3,749 |
$206K |
| A7035 |
Headgear used with positive airway pressure device |
9,564 |
8,337 |
$170K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,965 |
1,787 |
$166K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,922 |
11,622 |
$162K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,298 |
2,024 |
$133K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
242 |
218 |
$132K |
| A4217 |
Sterile water/saline, 500 ml |
1,437 |
1,127 |
$132K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,037 |
2,539 |
$121K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
652 |
627 |
$117K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
496 |
414 |
$117K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
17,868 |
15,486 |
$109K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,492 |
1,263 |
$105K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,199 |
1,074 |
$97K |
| K0007 |
Extra heavy duty wheelchair |
1,017 |
862 |
$86K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,142 |
830 |
$82K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
3,280 |
2,549 |
$79K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,078 |
3,471 |
$71K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,616 |
2,218 |
$69K |
| A4927 |
Gloves, non-sterile, per 100 |
4,953 |
3,820 |
$55K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,838 |
5,105 |
$52K |
| E1392 |
Portable oxygen concentrator, rental |
3,173 |
2,743 |
$52K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
337 |
314 |
$52K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
2,881 |
2,474 |
$45K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
394 |
319 |
$41K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
4,870 |
4,023 |
$40K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,724 |
1,572 |
$37K |
| A7526 |
Tracheostomy tube collar/holder, each |
722 |
571 |
$36K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,992 |
1,721 |
$35K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
235 |
210 |
$23K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
422 |
329 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
1,037 |
902 |
$20K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
974 |
898 |
$19K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
223 |
172 |
$18K |
| E0156 |
Seat attachment, walker |
2,011 |
1,691 |
$18K |
| A7002 |
Tubing, used with suction pump, each |
2,129 |
1,826 |
$16K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
108 |
99 |
$14K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
105 |
81 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,400 |
1,227 |
$10K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
247 |
168 |
$9K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
453 |
372 |
$8K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,539 |
1,053 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,478 |
3,077 |
$8K |
| A7036 |
Chinstrap used with positive airway pressure device |
851 |
751 |
$7K |
| A4605 |
Tracheal suction catheter, closed system, each |
33 |
25 |
$7K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
594 |
522 |
$6K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
158 |
115 |
$6K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
113 |
74 |
$6K |
| E0277 |
Powered pressure-reducing air mattress |
25 |
24 |
$6K |
| K0003 |
Lightweight wheelchair |
226 |
200 |
$5K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
30 |
24 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,708 |
987 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
136 |
105 |
$3K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
581 |
434 |
$3K |
| A4618 |
Breathing circuits |
190 |
121 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
50 |
45 |
$2K |
| K0006 |
Heavy duty wheelchair |
29 |
27 |
$2K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
277 |
257 |
$1K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
19 |
12 |
$1K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
28 |
20 |
$1K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
15 |
12 |
$1K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
14 |
14 |
$1K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
28 |
25 |
$870.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
87 |
72 |
$735.32 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
25 |
24 |
$679.62 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
323 |
221 |
$317.13 |
| E0244 |
Raised toilet seat |
17 |
12 |
$255.12 |
| E1372 |
Immersion external heater for nebulizer |
19 |
12 |
$196.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
131 |
128 |
$189.17 |