| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
1,083 |
903 |
$92K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
599 |
498 |
$31K |
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
76 |
40 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
297 |
268 |
$7K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
163 |
138 |
$7K |
| A4554 |
Disposable underpads, all sizes |
268 |
233 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
132 |
127 |
$4K |
| E0570 |
Nebulizer, with compressor |
245 |
219 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
95 |
88 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
74 |
72 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
68 |
65 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
40 |
37 |
$2K |
| 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 |
27 |
25 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
29 |
27 |
$881.24 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
37 |
37 |
$566.75 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
15 |
$513.08 |