| 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 |
13,539 |
13,328 |
$1.64M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,197 |
7,170 |
$1.14M |
| K0001 |
Standard wheelchair |
3,904 |
3,815 |
$712K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,362 |
3,350 |
$508K |
| 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) |
584 |
576 |
$285K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,975 |
12,734 |
$277K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,417 |
2,412 |
$208K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,262 |
3,194 |
$189K |
| E0570 |
Nebulizer, with compressor |
1,555 |
1,539 |
$161K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,532 |
2,514 |
$161K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
334 |
330 |
$103K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
1,209 |
1,134 |
$90K |
| A7037 |
Tubing used with positive airway pressure device |
3,130 |
3,112 |
$84K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
106 |
105 |
$81K |
| E0245 |
Tub stool or bench |
1,282 |
1,268 |
$71K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,298 |
1,239 |
$71K |
| A7030 |
Full face mask used with positive airway pressure device, each |
485 |
480 |
$61K |
| 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) |
79 |
78 |
$56K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,457 |
2,416 |
$55K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
861 |
858 |
$48K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,654 |
2,642 |
$29K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
2,498 |
2,451 |
$27K |
| E0156 |
Seat attachment, walker |
1,535 |
1,529 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,136 |
4,044 |
$24K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
586 |
541 |
$23K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
362 |
350 |
$21K |
| A4670 |
Automatic blood pressure monitor |
288 |
286 |
$19K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
343 |
326 |
$18K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
194 |
188 |
$12K |
| A7526 |
Tracheostomy tube collar/holder, each |
340 |
323 |
$10K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
98 |
95 |
$8K |
| A7002 |
Tubing, used with suction pump, each |
529 |
496 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
77 |
74 |
$6K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
278 |
278 |
$4K |
| E0271 |
Mattress, innerspring |
66 |
66 |
$4K |
| A4623 |
Tracheostomy, inner cannula |
14 |
13 |
$4K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
14 |
14 |
$3K |
| E0305 |
Bed side rails, half length |
25 |
24 |
$1K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
13 |
12 |
$1K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
13 |
12 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
14 |
14 |
$1K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
56 |
51 |
$976.96 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
14 |
14 |
$865.62 |
| A7036 |
Chinstrap used with positive airway pressure device |
59 |
59 |
$770.17 |
| A7015 |
Aerosol mask, used with dme nebulizer |
340 |
325 |
$617.26 |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
13 |
13 |
$331.10 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
43 |
38 |
$292.63 |
| A7525 |
Tracheostomy mask, each |
13 |
12 |
$45.98 |