| Code | Description | Claims | Beneficiaries | Total Paid |
| A7030 |
Full face mask used with positive airway pressure device, each |
16,428 |
15,670 |
$1.26M |
| E0601 |
Continuous positive airway pressure (cpap) device |
31,233 |
29,913 |
$1.09M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
17,860 |
16,727 |
$949K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,733 |
1,567 |
$788K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
17,744 |
16,935 |
$585K |
| A7031 |
Face mask interface, replacement for full face mask, each |
16,220 |
14,539 |
$488K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,699 |
10,079 |
$359K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
25,374 |
24,135 |
$277K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,891 |
6,575 |
$260K |
| A7035 |
Headgear used with positive airway pressure device |
14,564 |
13,930 |
$241K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,999 |
3,709 |
$197K |
| 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) |
2,115 |
2,018 |
$181K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,247 |
2,058 |
$144K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,320 |
11,530 |
$126K |
| A7037 |
Tubing used with positive airway pressure device |
5,833 |
5,532 |
$91K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
8,464 |
8,117 |
$85K |
| E0570 |
Nebulizer, with compressor |
3,177 |
3,033 |
$58K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
7,602 |
7,234 |
$57K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,736 |
1,572 |
$53K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,123 |
1,060 |
$50K |
| K0003 |
Lightweight wheelchair |
1,616 |
1,474 |
$47K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
72 |
67 |
$41K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
625 |
590 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
1,342 |
1,273 |
$18K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
930 |
852 |
$8K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
15 |
13 |
$2K |
| K0001 |
Standard wheelchair |
54 |
51 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
751 |
713 |
$1K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
1,190 |
993 |
$747.00 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
26 |
25 |
$659.74 |
| A7000 |
Canister, disposable, used with suction pump, each |
16 |
15 |
$410.80 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
502 |
476 |
$195.43 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$140.47 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$98.78 |