| 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 |
5,505 |
4,532 |
$251K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,342 |
2,963 |
$164K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
307 |
255 |
$156K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
172 |
103 |
$96K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,784 |
1,635 |
$70K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
644 |
560 |
$66K |
| A7030 |
Full face mask used with positive airway pressure device, each |
898 |
783 |
$61K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
940 |
831 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,742 |
3,204 |
$41K |
| 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) |
504 |
431 |
$35K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,378 |
968 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
856 |
795 |
$27K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
367 |
298 |
$25K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
146 |
128 |
$21K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
134 |
131 |
$20K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
584 |
543 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,462 |
1,285 |
$20K |
| A7526 |
Tracheostomy tube collar/holder, each |
261 |
222 |
$20K |
| A4217 |
Sterile water/saline, 500 ml |
327 |
220 |
$20K |
| E0570 |
Nebulizer, with compressor |
782 |
727 |
$17K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
596 |
534 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
667 |
568 |
$16K |
| K0001 |
Standard wheelchair |
765 |
726 |
$16K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
579 |
484 |
$15K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
130 |
111 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
483 |
413 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
1,236 |
1,075 |
$11K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
108 |
90 |
$10K |
| A7000 |
Canister, disposable, used with suction pump, each |
437 |
370 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
658 |
590 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,297 |
2,037 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
218 |
181 |
$4K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
31 |
26 |
$4K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
376 |
324 |
$4K |
| A7002 |
Tubing, used with suction pump, each |
364 |
315 |
$4K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
360 |
266 |
$3K |
| B9998 |
Noc for enteral supplies |
36 |
31 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
167 |
140 |
$2K |
| A4623 |
Tracheostomy, inner cannula |
17 |
12 |
$2K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
32 |
26 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
87 |
75 |
$2K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
58 |
48 |
$2K |
| A4452 |
Tape, waterproof, per 18 square inches |
85 |
69 |
$1K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
41 |
39 |
$848.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
349 |
298 |
$731.00 |
| K0003 |
Lightweight wheelchair |
25 |
25 |
$685.34 |
| E0156 |
Seat attachment, walker |
72 |
64 |
$584.99 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
37 |
24 |
$496.89 |
| A4618 |
Breathing circuits |
15 |
12 |
$245.88 |
| A4244 |
Alcohol or peroxide, per pint |
66 |
62 |
$156.83 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
13 |
$141.40 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
88 |
82 |
$55.68 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
38 |
29 |
$49.55 |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
25 |
12 |
$41.85 |
| A4332 |
Lubricant, individual sterile packet, each |
43 |
41 |
$38.01 |
| A7525 |
Tracheostomy mask, each |
15 |
13 |
$25.37 |