| 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 |
4,926 |
4,686 |
$410K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,604 |
1,603 |
$97K |
| A7030 |
Full face mask used with positive airway pressure device, each |
999 |
986 |
$93K |
| E0570 |
Nebulizer, with compressor |
1,280 |
1,275 |
$66K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
441 |
436 |
$61K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
294 |
282 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,119 |
3,816 |
$60K |
| A7031 |
Face mask interface, replacement for full face mask, each |
917 |
907 |
$57K |
| K0001 |
Standard wheelchair |
2,050 |
2,031 |
$45K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
318 |
315 |
$41K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
259 |
259 |
$32K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
510 |
502 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
671 |
669 |
$25K |
| T4541 |
Incontinence product, disposable underpad, large, each |
359 |
350 |
$25K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
2,345 |
2,155 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,362 |
1,344 |
$16K |
| 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) |
99 |
99 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
672 |
664 |
$13K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
42 |
36 |
$6K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
50 |
50 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
398 |
392 |
$4K |
| K0003 |
Lightweight wheelchair |
89 |
89 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
197 |
197 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
91 |
90 |
$3K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
13 |
12 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
383 |
368 |
$2K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
725 |
718 |
$784.73 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
60 |
60 |
$658.54 |
| A7015 |
Aerosol mask, used with dme nebulizer |
378 |
368 |
$454.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
200 |
200 |
$362.75 |