| 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 |
24,859 |
17,845 |
$904K |
| E0601 |
Continuous positive airway pressure (cpap) device |
13,822 |
11,932 |
$478K |
| 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) |
2,616 |
2,319 |
$236K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
20,089 |
14,643 |
$170K |
| K0001 |
Standard wheelchair |
12,457 |
9,816 |
$117K |
| E0570 |
Nebulizer, with compressor |
6,652 |
4,611 |
$88K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
8,232 |
5,621 |
$83K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,085 |
9,582 |
$77K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
720 |
685 |
$47K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
206 |
187 |
$35K |
| B9002 |
Enteral nutrition infusion pump, any type |
492 |
450 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
994 |
901 |
$28K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
6,604 |
5,311 |
$26K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,486 |
1,060 |
$20K |
| 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) |
67 |
63 |
$19K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,076 |
1,494 |
$18K |
| E0619 |
Apnea monitor, with recording feature |
191 |
149 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
2,241 |
1,419 |
$14K |
| K0003 |
Lightweight wheelchair |
1,584 |
1,205 |
$14K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
1,092 |
653 |
$12K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
859 |
690 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,417 |
1,708 |
$9K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,188 |
1,007 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,065 |
1,546 |
$9K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,765 |
1,524 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
3,276 |
2,384 |
$5K |
| K0007 |
Extra heavy duty wheelchair |
173 |
119 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,278 |
1,619 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
611 |
374 |
$3K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
2,787 |
2,049 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,637 |
3,345 |
$1K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
82 |
64 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,207 |
1,046 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
2,888 |
2,112 |
$907.30 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,462 |
1,062 |
$816.86 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
672 |
429 |
$711.80 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
797 |
581 |
$682.45 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
764 |
523 |
$633.06 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
83 |
72 |
$569.27 |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
57 |
54 |
$538.12 |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
31 |
24 |
$419.98 |
| E0156 |
Seat attachment, walker |
296 |
252 |
$346.32 |
| E0277 |
Powered pressure-reducing air mattress |
167 |
122 |
$274.68 |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
32 |
27 |
$135.84 |