| 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 |
9,112 |
7,984 |
$381K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,872 |
6,157 |
$126K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,003 |
1,729 |
$85K |
| E0570 |
Nebulizer, with compressor |
2,871 |
2,651 |
$65K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,699 |
1,577 |
$65K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,770 |
1,648 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,443 |
2,217 |
$56K |
| 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) |
446 |
391 |
$51K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
451 |
419 |
$40K |
| K0001 |
Standard wheelchair |
961 |
880 |
$20K |
| A4927 |
Gloves, non-sterile, per 100 |
1,938 |
1,721 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
326 |
295 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
824 |
763 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
897 |
832 |
$12K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
710 |
662 |
$9K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
264 |
252 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
122 |
113 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,012 |
1,883 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
92 |
84 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
78 |
69 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
40 |
37 |
$1K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$1K |