| 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 |
116,174 |
108,038 |
$2.72M |
| A7030 |
Full face mask used with positive airway pressure device, each |
48,168 |
44,016 |
$1.91M |
| A7031 |
Face mask interface, replacement for full face mask, each |
80,301 |
73,294 |
$1.78M |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
64,414 |
58,875 |
$1.17M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,306 |
3,918 |
$1.04M |
| E0601 |
Continuous positive airway pressure (cpap) device |
38,276 |
34,047 |
$1.01M |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
29,597 |
26,911 |
$728K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27,742 |
25,172 |
$693K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
21,523 |
19,446 |
$438K |
| A7035 |
Headgear used with positive airway pressure device |
45,062 |
41,211 |
$430K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
35,380 |
31,598 |
$383K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
137,196 |
124,298 |
$356K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
62,560 |
58,346 |
$354K |
| 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) |
5,207 |
4,676 |
$285K |
| 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 |
16,889 |
15,723 |
$278K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
34,814 |
32,353 |
$216K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
10,517 |
9,933 |
$139K |
| E0570 |
Nebulizer, with compressor |
18,680 |
17,434 |
$95K |
| A7037 |
Tubing used with positive airway pressure device |
15,318 |
13,848 |
$84K |
| 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) |
623 |
550 |
$81K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,522 |
2,446 |
$60K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
12,201 |
11,699 |
$60K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
3,999 |
3,791 |
$46K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13,315 |
11,943 |
$44K |
| K0001 |
Standard wheelchair |
8,463 |
8,196 |
$43K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,767 |
1,695 |
$35K |
| E1392 |
Portable oxygen concentrator, rental |
3,487 |
3,334 |
$26K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
799 |
777 |
$18K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
720 |
698 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,639 |
2,444 |
$17K |
| K0006 |
Heavy duty wheelchair |
859 |
839 |
$11K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,814 |
1,747 |
$10K |
| E0277 |
Powered pressure-reducing air mattress |
104 |
90 |
$7K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
123 |
120 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,258 |
1,200 |
$5K |
| 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 |
84 |
77 |
$5K |
| K0003 |
Lightweight wheelchair |
714 |
688 |
$4K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
1,123 |
1,074 |
$4K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
1,347 |
1,303 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,642 |
3,345 |
$3K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
109 |
106 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
320 |
318 |
$2K |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
60 |
60 |
$2K |
| E0156 |
Seat attachment, walker |
53 |
52 |
$512.11 |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,071 |
1,001 |
$505.55 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,499 |
1,372 |
$414.77 |
| K0007 |
Extra heavy duty wheelchair |
27 |
27 |
$396.33 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
53 |
51 |
$293.32 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
138 |
134 |
$237.36 |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
292 |
252 |
$225.79 |