| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,862 |
7,796 |
$433K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,299 |
4,254 |
$401K |
| 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) |
1,480 |
1,451 |
$222K |
| K0001 |
Standard wheelchair |
6,630 |
6,534 |
$184K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,482 |
9,385 |
$154K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
589 |
585 |
$114K |
| E0570 |
Nebulizer, with compressor |
1,520 |
1,473 |
$111K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,314 |
3,637 |
$106K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,799 |
3,735 |
$67K |
| 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) |
198 |
196 |
$64K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,595 |
1,557 |
$55K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,004 |
992 |
$54K |
| A7030 |
Full face mask used with positive airway pressure device, each |
672 |
660 |
$52K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
639 |
519 |
$50K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
676 |
671 |
$50K |
| K0003 |
Lightweight wheelchair |
1,007 |
995 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
2,097 |
2,044 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,163 |
2,148 |
$40K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
650 |
637 |
$36K |
| K0007 |
Extra heavy duty wheelchair |
338 |
324 |
$31K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,883 |
1,841 |
$31K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
518 |
497 |
$23K |
| E0245 |
Tub stool or bench |
477 |
468 |
$21K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
436 |
431 |
$19K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,670 |
1,653 |
$19K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
275 |
253 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,919 |
1,908 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
437 |
434 |
$12K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
282 |
282 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,647 |
1,643 |
$10K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
246 |
244 |
$9K |
| E0271 |
Mattress, innerspring |
654 |
651 |
$8K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
412 |
410 |
$8K |
| E0676 |
Intermittent limb compression device (includes all accessories), not otherwise specified |
13 |
13 |
$7K |
| E0305 |
Bed side rails, half length |
532 |
526 |
$5K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,113 |
1,084 |
$2K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
102 |
102 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
186 |
185 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
27 |
27 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
126 |
126 |
$1K |
| E0156 |
Seat attachment, walker |
65 |
65 |
$819.82 |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$478.83 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
12 |
12 |
$365.06 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
28 |
27 |
$192.60 |