| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
797 |
722 |
$42K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
446 |
427 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
348 |
319 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
385 |
336 |
$8K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
43 |
43 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
406 |
374 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
252 |
223 |
$6K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
124 |
99 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
111 |
95 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
28 |
28 |
$3K |
| T4541 |
Incontinence product, disposable underpad, large, each |
24 |
24 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
61 |
52 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
227 |
210 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
15 |
12 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
41 |
41 |
$467.15 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$344.58 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
53 |
53 |
$77.56 |
| A7015 |
Aerosol mask, used with dme nebulizer |
58 |
47 |
$70.54 |