| 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 |
19,397 |
18,439 |
$1.34M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,746 |
1,204 |
$984K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,116 |
8,745 |
$733K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,084 |
1,988 |
$328K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,319 |
3,155 |
$287K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,515 |
2,421 |
$286K |
| E0570 |
Nebulizer, with compressor |
10,002 |
9,324 |
$228K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,255 |
5,979 |
$219K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,545 |
3,396 |
$218K |
| 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) |
597 |
578 |
$185K |
| 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) |
1,354 |
1,288 |
$181K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,135 |
11,470 |
$152K |
| A7035 |
Headgear used with positive airway pressure device |
5,915 |
5,662 |
$129K |
| A4217 |
Sterile water/saline, 500 ml |
1,391 |
1,032 |
$111K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
2,448 |
2,172 |
$90K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,645 |
1,403 |
$86K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
553 |
447 |
$85K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,442 |
2,309 |
$80K |
| A4605 |
Tracheal suction catheter, closed system, each |
270 |
219 |
$77K |
| E1392 |
Portable oxygen concentrator, rental |
3,351 |
3,188 |
$66K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,326 |
1,109 |
$62K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
403 |
162 |
$60K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,181 |
8,758 |
$59K |
| K0001 |
Standard wheelchair |
4,440 |
3,999 |
$55K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
82 |
81 |
$52K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
492 |
429 |
$52K |
| A7000 |
Canister, disposable, used with suction pump, each |
2,082 |
1,959 |
$46K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
1,599 |
1,576 |
$44K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,836 |
1,757 |
$37K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
88 |
82 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,429 |
1,357 |
$37K |
| A4623 |
Tracheostomy, inner cannula |
271 |
234 |
$36K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,347 |
3,182 |
$36K |
| A7002 |
Tubing, used with suction pump, each |
2,540 |
2,120 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
691 |
626 |
$25K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
846 |
729 |
$22K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
433 |
278 |
$21K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
268 |
231 |
$20K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,973 |
1,633 |
$15K |
| A4927 |
Gloves, non-sterile, per 100 |
1,504 |
1,246 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,527 |
1,466 |
$13K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
36 |
36 |
$13K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
367 |
182 |
$12K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
414 |
369 |
$11K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
85 |
77 |
$7K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
84 |
74 |
$6K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
135 |
134 |
$6K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
201 |
190 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,889 |
2,742 |
$5K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
182 |
116 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
182 |
174 |
$4K |
| E0156 |
Seat attachment, walker |
433 |
396 |
$4K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
313 |
255 |
$4K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
61 |
37 |
$4K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
13 |
13 |
$3K |
| E1399 |
Durable medical equipment, miscellaneous |
60 |
40 |
$3K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
78 |
75 |
$3K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
15 |
14 |
$3K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
268 |
203 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
97 |
86 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
144 |
140 |
$2K |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
549 |
515 |
$2K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
46 |
43 |
$990.79 |
| E1372 |
Immersion external heater for nebulizer |
26 |
24 |
$924.20 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
112 |
92 |
$760.91 |
| A7036 |
Chinstrap used with positive airway pressure device |
68 |
63 |
$669.94 |
| A7012 |
Water collection device, used with large volume nebulizer |
88 |
76 |
$642.56 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
12 |
$307.82 |
| A4618 |
Breathing circuits |
14 |
13 |
$239.41 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
85 |
76 |
$147.80 |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
63 |
26 |
$131.38 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
14 |
12 |
$82.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
24 |
24 |
$37.65 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
18 |
13 |
$25.95 |
| A4616 |
Tubing (oxygen), per foot |
21 |
13 |
$15.53 |