| 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 |
13,410 |
13,342 |
$1.22M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,941 |
7,869 |
$425K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,319 |
9,237 |
$182K |
| E0570 |
Nebulizer, with compressor |
4,137 |
4,047 |
$164K |
| 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) |
1,149 |
1,141 |
$147K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,478 |
1,468 |
$110K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,332 |
1,311 |
$101K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,626 |
1,614 |
$70K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
585 |
584 |
$70K |
| K0003 |
Lightweight wheelchair |
1,215 |
1,213 |
$49K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
759 |
755 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
1,835 |
1,809 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
1,501 |
1,485 |
$36K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
726 |
711 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
579 |
567 |
$18K |
| K0001 |
Standard wheelchair |
1,044 |
1,037 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,539 |
2,501 |
$17K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,069 |
1,059 |
$17K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
291 |
291 |
$8K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
38 |
37 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
848 |
846 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
76 |
65 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
376 |
375 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
185 |
185 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
160 |
113 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
171 |
168 |
$2K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
38 |
38 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
82 |
54 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,139 |
1,118 |
$2K |
| E0156 |
Seat attachment, walker |
175 |
175 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
161 |
161 |
$1K |
| E0561 |
Humidifier, non-heated, used with positive airway pressure device |
44 |
44 |
$598.57 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
437 |
433 |
$146.02 |
| A4259 |
Lancets, per box of 100 |
53 |
52 |
$70.44 |
| A7015 |
Aerosol mask, used with dme nebulizer |
53 |
51 |
$66.85 |