| 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 |
40,271 |
28,876 |
$1.34M |
| E0601 |
Continuous positive airway pressure (cpap) device |
31,801 |
23,940 |
$834K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13,366 |
9,632 |
$558K |
| 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) |
6,824 |
5,048 |
$401K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
17,918 |
13,348 |
$355K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
15,688 |
13,467 |
$285K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
9,623 |
7,004 |
$278K |
| A7031 |
Face mask interface, replacement for full face mask, each |
12,311 |
8,500 |
$209K |
| E0570 |
Nebulizer, with compressor |
12,148 |
8,866 |
$208K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
24,130 |
17,377 |
$174K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
7,189 |
5,386 |
$155K |
| A7035 |
Headgear used with positive airway pressure device |
14,821 |
10,762 |
$138K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,801 |
3,044 |
$90K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
28,243 |
21,177 |
$89K |
| E1392 |
Portable oxygen concentrator, rental |
7,755 |
5,450 |
$84K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
4,575 |
3,530 |
$83K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
8,576 |
6,238 |
$52K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
1,859 |
1,716 |
$52K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
753 |
704 |
$42K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,500 |
1,205 |
$33K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
2,818 |
1,804 |
$23K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,233 |
789 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
5,415 |
3,567 |
$22K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
4,539 |
3,128 |
$11K |
| E0156 |
Seat attachment, walker |
1,629 |
1,212 |
$9K |
| E1050 |
Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests |
790 |
753 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,767 |
3,110 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
305 |
176 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,213 |
2,671 |
$3K |
| K0001 |
Standard wheelchair |
2,175 |
1,733 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
352 |
263 |
$2K |
| 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) |
20 |
12 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
58 |
36 |
$760.43 |
| E0245 |
Tub stool or bench |
31 |
24 |
$728.56 |
| E1093 |
Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests |
12 |
12 |
$422.80 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
305 |
195 |
$27.78 |