| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Full face mask used with positive airway pressure device, each |
9,200 |
9,089 |
$536K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,885 |
9,721 |
$405K |
| E0601 |
Continuous positive airway pressure (cpap) device |
14,973 |
14,696 |
$393K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13,791 |
13,651 |
$316K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13,718 |
13,506 |
$309K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,876 |
5,815 |
$208K |
| K0001 |
Standard wheelchair |
16,363 |
16,143 |
$189K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
5,196 |
5,139 |
$152K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,709 |
6,615 |
$149K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13,229 |
12,977 |
$148K |
| 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) |
2,297 |
2,249 |
$122K |
| E0570 |
Nebulizer, with compressor |
2,496 |
2,447 |
$117K |
| A7035 |
Headgear used with positive airway pressure device |
8,795 |
8,700 |
$107K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
3,787 |
3,755 |
$78K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,903 |
7,775 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,791 |
2,749 |
$63K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
11,321 |
11,158 |
$51K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,401 |
6,337 |
$42K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14,164 |
13,970 |
$42K |
| K0003 |
Lightweight wheelchair |
1,971 |
1,937 |
$40K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
2,182 |
2,151 |
$32K |
| K0006 |
Heavy duty wheelchair |
1,062 |
1,052 |
$31K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,571 |
1,548 |
$30K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
1,936 |
1,912 |
$27K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
839 |
829 |
$23K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
3,063 |
1,662 |
$19K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
194 |
192 |
$18K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
1,015 |
990 |
$16K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,170 |
3,128 |
$15K |
| K0002 |
Standard hemi (low seat) wheelchair |
783 |
774 |
$15K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
220 |
216 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
542 |
538 |
$11K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
1,651 |
1,649 |
$8K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
839 |
827 |
$8K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
433 |
433 |
$7K |
| E0245 |
Tub stool or bench |
174 |
173 |
$7K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
25 |
24 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
371 |
366 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
193 |
190 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
527 |
522 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
117 |
104 |
$3K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
222 |
215 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
408 |
404 |
$2K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
709 |
700 |
$2K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
127 |
126 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
846 |
825 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
326 |
320 |
$622.61 |
| E0156 |
Seat attachment, walker |
107 |
107 |
$516.56 |
| K0007 |
Extra heavy duty wheelchair |
13 |
12 |
$442.20 |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
25 |
25 |
$363.73 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$273.80 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
24 |
24 |
$221.59 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
72 |
71 |
$57.12 |
| K0045 |
Footrest, complete assembly, replacement only, each |
16 |
16 |
$0.00 |