| 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 |
13,053 |
11,876 |
$1.20M |
| E0601 |
Continuous positive airway pressure (cpap) device |
13,599 |
12,987 |
$853K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,757 |
4,402 |
$467K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,178 |
8,815 |
$270K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,616 |
7,018 |
$266K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,686 |
3,351 |
$232K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,926 |
4,543 |
$175K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
840 |
803 |
$147K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,645 |
1,430 |
$141K |
| 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) |
324 |
309 |
$118K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,977 |
7,283 |
$116K |
| A7035 |
Headgear used with positive airway pressure device |
5,492 |
5,031 |
$114K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,797 |
2,558 |
$109K |
| 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) |
845 |
774 |
$92K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,183 |
1,042 |
$87K |
| E0570 |
Nebulizer, with compressor |
3,286 |
2,952 |
$71K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,065 |
1,815 |
$70K |
| K0001 |
Standard wheelchair |
3,526 |
3,144 |
$64K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,362 |
9,560 |
$59K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,239 |
1,026 |
$59K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
618 |
566 |
$57K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,553 |
2,234 |
$48K |
| E1392 |
Portable oxygen concentrator, rental |
2,548 |
2,321 |
$45K |
| A4927 |
Gloves, non-sterile, per 100 |
3,482 |
2,707 |
$45K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,254 |
2,967 |
$32K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
690 |
626 |
$15K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
629 |
578 |
$11K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
73 |
62 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
460 |
427 |
$5K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
64 |
62 |
$4K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
187 |
159 |
$3K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
142 |
136 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
203 |
173 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
40 |
37 |
$2K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
62 |
50 |
$379.31 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
284 |
188 |
$55.08 |