| 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 |
3,518 |
3,266 |
$353K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,649 |
2,509 |
$155K |
| E0570 |
Nebulizer, with compressor |
1,863 |
1,819 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,637 |
2,455 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,544 |
1,403 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
1,079 |
989 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
195 |
175 |
$24K |
| T4541 |
Incontinence product, disposable underpad, large, each |
333 |
328 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
414 |
378 |
$17K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
131 |
131 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,899 |
1,780 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
806 |
759 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
90 |
68 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
44 |
40 |
$5K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
116 |
113 |
$5K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
120 |
118 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
242 |
226 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,138 |
1,080 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
39 |
37 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
236 |
204 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
18 |
17 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
15 |
13 |
$527.16 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
12 |
12 |
$339.56 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$244.05 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
12 |
12 |
$64.50 |