| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,167 |
2,092 |
$367K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,257 |
2,172 |
$158K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,024 |
2,944 |
$102K |
| A7030 |
Full face mask used with positive airway pressure device, each |
708 |
689 |
$68K |
| E0570 |
Nebulizer, with compressor |
1,468 |
1,408 |
$65K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
276 |
271 |
$43K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
286 |
278 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,471 |
1,432 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,094 |
3,990 |
$22K |
| 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) |
142 |
126 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
503 |
486 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
1,385 |
1,349 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
41 |
38 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
446 |
438 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
62 |
62 |
$3K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
37 |
25 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
379 |
372 |
$941.90 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16 |
12 |
$375.88 |