| 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 |
35,751 |
33,159 |
$1.18M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,478 |
2,298 |
$733K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
9,626 |
9,001 |
$192K |
| K0001 |
Standard wheelchair |
8,115 |
7,492 |
$115K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,908 |
1,735 |
$107K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
3,936 |
3,696 |
$77K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
3,106 |
2,875 |
$50K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,648 |
4,336 |
$43K |
| E0570 |
Nebulizer, with compressor |
12,124 |
10,801 |
$40K |
| E0301 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress |
505 |
481 |
$31K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,852 |
1,808 |
$29K |
| E0277 |
Powered pressure-reducing air mattress |
632 |
574 |
$27K |
| K0007 |
Extra heavy duty wheelchair |
268 |
241 |
$19K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
3,039 |
2,829 |
$14K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
112 |
97 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
494 |
431 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,313 |
1,168 |
$7K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
54 |
37 |
$7K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
538 |
340 |
$7K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
1,408 |
1,286 |
$6K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
526 |
472 |
$6K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
150 |
119 |
$5K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
394 |
354 |
$4K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
54 |
47 |
$3K |
| E0184 |
Dry pressure mattress |
121 |
105 |
$3K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
213 |
202 |
$2K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
77 |
69 |
$2K |
| K0006 |
Heavy duty wheelchair |
136 |
112 |
$2K |
| E0156 |
Seat attachment, walker |
450 |
380 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
68 |
64 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
612 |
513 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
39 |
38 |
$1K |
| E0305 |
Bed side rails, half length |
362 |
340 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
183 |
157 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
127 |
122 |
$913.36 |
| A7015 |
Aerosol mask, used with dme nebulizer |
674 |
572 |
$638.56 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
35 |
31 |
$551.13 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
108 |
107 |
$484.10 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
138 |
130 |
$424.78 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$315.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
17 |
15 |
$272.68 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
14 |
12 |
$166.53 |
| A7037 |
Tubing used with positive airway pressure device |
31 |
26 |
$130.09 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
13 |
13 |
$125.17 |
| E1392 |
Portable oxygen concentrator, rental |
107 |
106 |
$34.43 |