| 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 |
1,038 |
956 |
$50K |
| E0601 |
Continuous positive airway pressure (cpap) device |
456 |
420 |
$33K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
574 |
562 |
$20K |
| K0001 |
Standard wheelchair |
1,193 |
1,146 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
378 |
355 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
134 |
125 |
$11K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
394 |
376 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
318 |
300 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
777 |
720 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
140 |
130 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
226 |
210 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
191 |
188 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
96 |
89 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
92 |
91 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
427 |
392 |
$3K |
| E0570 |
Nebulizer, with compressor |
160 |
152 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
155 |
155 |
$2K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
114 |
109 |
$1K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
88 |
77 |
$856.35 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
75 |
69 |
$688.90 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
12 |
$576.89 |
| E0156 |
Seat attachment, walker |
65 |
64 |
$526.51 |