| 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 |
9,261 |
9,199 |
$674K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,091 |
7,929 |
$539K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,326 |
2,325 |
$334K |
| E0570 |
Nebulizer, with compressor |
5,548 |
5,503 |
$252K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,219 |
3,200 |
$214K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,945 |
3,858 |
$177K |
| B4100 |
Food thickener, administered orally, per ounce |
1,627 |
1,627 |
$156K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
834 |
833 |
$93K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,672 |
1,654 |
$92K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,841 |
1,834 |
$91K |
| K0001 |
Standard wheelchair |
2,531 |
2,488 |
$88K |
| 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) |
591 |
580 |
$78K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,032 |
5,003 |
$78K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,233 |
2,205 |
$73K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
809 |
808 |
$72K |
| A7035 |
Headgear used with positive airway pressure device |
4,208 |
4,193 |
$47K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,630 |
1,620 |
$44K |
| A7037 |
Tubing used with positive airway pressure device |
3,304 |
3,286 |
$34K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
233 |
232 |
$29K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
340 |
338 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,973 |
5,933 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
573 |
570 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,757 |
1,753 |
$16K |
| A4554 |
Disposable underpads, all sizes |
342 |
338 |
$15K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
475 |
473 |
$14K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
65 |
63 |
$10K |
| 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 |
67 |
$9K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
383 |
365 |
$8K |
| E0156 |
Seat attachment, walker |
666 |
662 |
$8K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
210 |
155 |
$8K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
139 |
139 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
185 |
179 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
231 |
231 |
$3K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
98 |
64 |
$3K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
46 |
45 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
129 |
128 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
793 |
786 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
806 |
803 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
182 |
111 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
261 |
256 |
$1K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
79 |
79 |
$724.61 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$318.72 |
| A7036 |
Chinstrap used with positive airway pressure device |
26 |
26 |
$186.17 |