| 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 |
27,747 |
22,574 |
$490K |
| E1392 |
Portable oxygen concentrator, rental |
5,829 |
4,653 |
$179K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
5,162 |
4,288 |
$67K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,009 |
14,036 |
$64K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,548 |
3,004 |
$58K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,816 |
2,397 |
$52K |
| K0001 |
Standard wheelchair |
9,550 |
7,747 |
$47K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,236 |
1,016 |
$39K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,411 |
1,179 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,066 |
3,385 |
$26K |
| E0570 |
Nebulizer, with compressor |
8,657 |
7,381 |
$22K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
151 |
142 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
865 |
698 |
$14K |
| K0007 |
Extra heavy duty wheelchair |
556 |
449 |
$12K |
| K0003 |
Lightweight wheelchair |
1,662 |
1,366 |
$11K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
109 |
105 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
622 |
489 |
$9K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,817 |
3,072 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,569 |
1,333 |
$9K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
263 |
229 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
367 |
301 |
$7K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
1,376 |
1,060 |
$6K |
| E0168 |
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each |
1,537 |
1,320 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,248 |
1,826 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
576 |
524 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
421 |
367 |
$3K |
| 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) |
75 |
60 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
397 |
309 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,815 |
1,485 |
$1K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
490 |
366 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,052 |
912 |
$1K |
| E1236 |
Wheelchair, pediatric size, folding, adjustable, with seating system |
13 |
13 |
$994.07 |
| E0156 |
Seat attachment, walker |
219 |
175 |
$881.57 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
15 |
13 |
$732.08 |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
16 |
13 |
$546.47 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
35 |
24 |
$355.51 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
16 |
15 |
$30.95 |