| 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 |
21,453 |
17,797 |
$755K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,057 |
5,936 |
$384K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,726 |
3,402 |
$203K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
7,296 |
5,819 |
$175K |
| E0570 |
Nebulizer, with compressor |
5,119 |
4,565 |
$172K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,701 |
5,270 |
$153K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
4,704 |
3,913 |
$108K |
| K0001 |
Standard wheelchair |
7,872 |
6,392 |
$101K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,100 |
6,168 |
$95K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,311 |
10,576 |
$94K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,143 |
1,961 |
$76K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
707 |
492 |
$66K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,636 |
2,426 |
$59K |
| A7035 |
Headgear used with positive airway pressure device |
4,277 |
3,941 |
$53K |
| 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) |
588 |
401 |
$42K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,513 |
1,373 |
$37K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,514 |
1,221 |
$31K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,764 |
2,556 |
$26K |
| K0003 |
Lightweight wheelchair |
1,110 |
1,026 |
$26K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
878 |
810 |
$25K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,428 |
2,866 |
$20K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
940 |
874 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,875 |
6,146 |
$12K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
117 |
108 |
$11K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,989 |
2,748 |
$10K |
| K0006 |
Heavy duty wheelchair |
259 |
217 |
$10K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
1,497 |
1,159 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,268 |
1,205 |
$6K |
| E0245 |
Tub stool or bench |
219 |
212 |
$5K |
| E0156 |
Seat attachment, walker |
362 |
319 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,408 |
828 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
249 |
225 |
$2K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
61 |
50 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
68 |
66 |
$1K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
175 |
126 |
$590.63 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
642 |
366 |
$502.99 |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
17 |
12 |
$290.76 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
86 |
75 |
$240.45 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$207.57 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
16 |
12 |
$17.12 |