| 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 |
11,105 |
9,025 |
$249K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,242 |
3,693 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,060 |
3,935 |
$74K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,168 |
1,740 |
$74K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
592 |
494 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,031 |
3,483 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,458 |
4,558 |
$25K |
| E0570 |
Nebulizer, with compressor |
4,782 |
4,351 |
$23K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,543 |
1,285 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,292 |
958 |
$20K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
343 |
278 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
2,209 |
1,736 |
$18K |
| K0001 |
Standard wheelchair |
2,873 |
2,385 |
$17K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
973 |
772 |
$14K |
| K0003 |
Lightweight wheelchair |
1,796 |
1,507 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,859 |
1,502 |
$13K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,340 |
998 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
622 |
490 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,222 |
4,800 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
1,903 |
1,521 |
$10K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
2,045 |
1,288 |
$9K |
| 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) |
141 |
134 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,635 |
1,336 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
797 |
638 |
$4K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
549 |
529 |
$3K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
2,905 |
1,283 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
305 |
257 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
370 |
297 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,896 |
1,232 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
124 |
91 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
134 |
120 |
$1K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
3,127 |
1,390 |
$1K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
444 |
402 |
$643.97 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
2,112 |
859 |
$550.01 |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
26 |
24 |
$166.43 |
| E0156 |
Seat attachment, walker |
31 |
25 |
$131.53 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
19 |
12 |
$122.68 |
| E0305 |
Bed side rails, half length |
139 |
137 |
$111.95 |