| 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 |
1,897 |
1,663 |
$148K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,304 |
2,120 |
$113K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,184 |
2,022 |
$40K |
| E0570 |
Nebulizer, with compressor |
860 |
820 |
$29K |
| 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 |
1,191 |
1,005 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
890 |
813 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
779 |
722 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
225 |
218 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
161 |
150 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,770 |
1,601 |
$8K |
| T4541 |
Incontinence product, disposable underpad, large, each |
132 |
121 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
144 |
131 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
216 |
184 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
288 |
275 |
$3K |
| A4670 |
Automatic blood pressure monitor |
38 |
37 |
$2K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
25 |
25 |
$2K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
13 |
13 |
$1K |
| K0001 |
Standard wheelchair |
36 |
25 |
$602.22 |