| 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 |
10,549 |
9,074 |
$786K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,405 |
4,856 |
$488K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,480 |
5,533 |
$452K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,019 |
6,303 |
$399K |
| E0570 |
Nebulizer, with compressor |
4,225 |
3,849 |
$162K |
| 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) |
1,417 |
1,236 |
$161K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,302 |
3,064 |
$147K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,993 |
2,792 |
$144K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,403 |
7,521 |
$128K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
706 |
651 |
$125K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
503 |
494 |
$122K |
| 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 |
4,974 |
4,354 |
$119K |
| A7035 |
Headgear used with positive airway pressure device |
5,588 |
5,095 |
$114K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
725 |
686 |
$83K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,458 |
1,326 |
$57K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
943 |
850 |
$38K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
4,447 |
4,047 |
$35K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
780 |
757 |
$28K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
619 |
589 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
975 |
812 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,341 |
2,149 |
$23K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
763 |
738 |
$17K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
107 |
92 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
5,251 |
4,779 |
$13K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
326 |
243 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,470 |
3,124 |
$9K |
| K0001 |
Standard wheelchair |
431 |
396 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
759 |
732 |
$7K |
| K0003 |
Lightweight wheelchair |
120 |
111 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
27 |
26 |
$5K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
40 |
36 |
$5K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
69 |
25 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
94 |
87 |
$5K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,120 |
585 |
$5K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
247 |
211 |
$2K |
| A4565 |
Slings |
169 |
168 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
633 |
562 |
$873.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
212 |
195 |
$678.78 |
| L3260 |
Surgical boot/shoe, each |
13 |
12 |
$185.86 |
| E0156 |
Seat attachment, walker |
14 |
13 |
$62.67 |