| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
10,121 |
10,089 |
$1.03M |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,370 |
5,349 |
$393K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,873 |
4,826 |
$361K |
| 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) |
1,020 |
1,009 |
$330K |
| K0001 |
Standard wheelchair |
3,074 |
3,059 |
$136K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,864 |
3,831 |
$130K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,145 |
1,143 |
$79K |
| T4541 |
Incontinence product, disposable underpad, large, each |
986 |
983 |
$78K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,436 |
1,417 |
$76K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,338 |
2,322 |
$74K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,264 |
3,242 |
$74K |
| A7035 |
Headgear used with positive airway pressure device |
3,478 |
3,443 |
$71K |
| E0570 |
Nebulizer, with compressor |
2,599 |
2,592 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,479 |
1,457 |
$54K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,702 |
1,677 |
$48K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,997 |
2,977 |
$34K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
596 |
595 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,200 |
4,168 |
$26K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
295 |
293 |
$23K |
| K0002 |
Standard hemi (low seat) wheelchair |
333 |
330 |
$21K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
227 |
227 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
895 |
895 |
$16K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
492 |
405 |
$12K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
13 |
12 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
345 |
338 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
275 |
275 |
$8K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
507 |
504 |
$7K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
621 |
619 |
$6K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
413 |
336 |
$5K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
478 |
478 |
$5K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
61 |
61 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
170 |
170 |
$3K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$1K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
53 |
37 |
$472.13 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
27 |
$29.77 |