| 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 |
13,817 |
10,208 |
$542K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,109 |
736 |
$277K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,422 |
5,376 |
$176K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,448 |
6,152 |
$135K |
| K0001 |
Standard wheelchair |
4,548 |
3,888 |
$81K |
| E0570 |
Nebulizer, with compressor |
2,524 |
2,029 |
$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) |
701 |
539 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,202 |
1,993 |
$44K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,040 |
839 |
$37K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
578 |
428 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
479 |
372 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
3,072 |
2,222 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,104 |
862 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,713 |
1,339 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
493 |
409 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,273 |
996 |
$12K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
302 |
260 |
$8K |
| E1399 |
Durable medical equipment, miscellaneous |
195 |
51 |
$4K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
225 |
138 |
$3K |
| K0003 |
Lightweight wheelchair |
215 |
166 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
351 |
327 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
612 |
546 |
$2K |
| E0619 |
Apnea monitor, with recording feature |
16 |
13 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
69 |
51 |
$1K |
| 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 |
119 |
67 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
60 |
51 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
62 |
50 |
$1K |
| E0156 |
Seat attachment, walker |
162 |
140 |
$866.30 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
118 |
91 |
$481.42 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
271 |
218 |
$297.95 |
| A7015 |
Aerosol mask, used with dme nebulizer |
30 |
28 |
$20.63 |