| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,959 |
1,848 |
$220K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,209 |
1,935 |
$184K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,513 |
1,457 |
$68K |
| A7030 |
Full face mask used with positive airway pressure device, each |
465 |
446 |
$56K |
| E0570 |
Nebulizer, with compressor |
762 |
688 |
$52K |
| A7035 |
Headgear used with positive airway pressure device |
1,566 |
1,522 |
$43K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
986 |
950 |
$32K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
309 |
294 |
$26K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
256 |
231 |
$24K |
| S9999 |
Sales tax |
1,974 |
1,734 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
276 |
266 |
$22K |
| T4541 |
Incontinence product, disposable underpad, large, each |
485 |
457 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,299 |
1,155 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,483 |
2,410 |
$19K |
| A4927 |
Gloves, non-sterile, per 100 |
1,402 |
1,330 |
$14K |
| 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) |
56 |
51 |
$13K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
88 |
79 |
$7K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
256 |
210 |
$7K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
99 |
93 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
419 |
408 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
26 |
$5K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
41 |
38 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
107 |
106 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
366 |
351 |
$1K |