| 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 |
25,126 |
24,554 |
$2.27M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,073 |
6,959 |
$376K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
22,019 |
21,214 |
$363K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,820 |
3,712 |
$362K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,669 |
1,467 |
$284K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,373 |
2,351 |
$258K |
| 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) |
1,964 |
1,902 |
$235K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,762 |
3,651 |
$202K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,604 |
1,567 |
$199K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,988 |
1,876 |
$183K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,187 |
1,173 |
$151K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,904 |
1,860 |
$142K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,011 |
993 |
$132K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
959 |
941 |
$128K |
| K0001 |
Standard wheelchair |
6,938 |
6,737 |
$127K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,313 |
2,263 |
$105K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,755 |
1,711 |
$91K |
| E0570 |
Nebulizer, with compressor |
4,499 |
4,393 |
$85K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,218 |
1,190 |
$75K |
| A7037 |
Tubing used with positive airway pressure device |
4,031 |
3,921 |
$70K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,069 |
6,854 |
$60K |
| A7035 |
Headgear used with positive airway pressure device |
3,134 |
3,023 |
$58K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
845 |
832 |
$53K |
| E1392 |
Portable oxygen concentrator, rental |
1,544 |
1,537 |
$49K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
372 |
344 |
$48K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
291 |
289 |
$44K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
939 |
913 |
$42K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
277 |
261 |
$39K |
| A4927 |
Gloves, non-sterile, per 100 |
3,116 |
2,961 |
$37K |
| B9998 |
Noc for enteral supplies |
272 |
240 |
$33K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
712 |
706 |
$31K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
629 |
124 |
$29K |
| K0003 |
Lightweight wheelchair |
845 |
832 |
$29K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
4,591 |
4,312 |
$28K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
219 |
217 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,232 |
2,190 |
$26K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
454 |
450 |
$11K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,057 |
1,041 |
$10K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
263 |
255 |
$10K |
| A4452 |
Tape, waterproof, per 18 square inches |
284 |
252 |
$7K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
140 |
138 |
$7K |
| B9002 |
Enteral nutrition infusion pump, any type |
65 |
64 |
$5K |
| A4554 |
Disposable underpads, all sizes |
81 |
81 |
$5K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
535 |
463 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
124 |
122 |
$4K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
182 |
176 |
$3K |
| E1399 |
Durable medical equipment, miscellaneous |
14 |
14 |
$3K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
28 |
25 |
$3K |
| 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) |
12 |
12 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
108 |
103 |
$954.47 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
138 |
136 |
$945.89 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
718 |
698 |
$833.67 |
| A7015 |
Aerosol mask, used with dme nebulizer |
205 |
204 |
$303.55 |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
14 |
13 |
$297.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
153 |
138 |
$289.11 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
12 |
12 |
$158.65 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
29 |
25 |
$124.20 |