| 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 |
14,531 |
12,082 |
$626K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,385 |
1,291 |
$61K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,865 |
10,764 |
$51K |
| K0001 |
Standard wheelchair |
5,833 |
4,383 |
$44K |
| E0570 |
Nebulizer, with compressor |
3,735 |
3,293 |
$29K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
973 |
836 |
$23K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
89 |
72 |
$18K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,894 |
1,472 |
$7K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,802 |
1,301 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
986 |
921 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
244 |
172 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
60 |
53 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
42 |
38 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
295 |
246 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
457 |
370 |
$418.92 |
| E1392 |
Portable oxygen concentrator, rental |
70 |
59 |
$91.82 |
| E0156 |
Seat attachment, walker |
33 |
26 |
$40.64 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$1.01 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$0.90 |
| A7030 |
Full face mask used with positive airway pressure device, each |
20 |
14 |
$0.86 |
| A7031 |
Face mask interface, replacement for full face mask, each |
41 |
27 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
15 |
12 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
18 |
12 |
$0.00 |