| 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 |
3,576 |
3,391 |
$156K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,591 |
2,445 |
$70K |
| A7030 |
Full face mask used with positive airway pressure device, each |
936 |
907 |
$53K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
978 |
956 |
$41K |
| 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 |
1,849 |
1,767 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,558 |
2,407 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
948 |
905 |
$22K |
| E0570 |
Nebulizer, with compressor |
1,110 |
1,066 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,894 |
2,797 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
340 |
321 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
827 |
796 |
$10K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
114 |
108 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
230 |
219 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
88 |
87 |
$4K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
29 |
28 |
$4K |
| T4541 |
Incontinence product, disposable underpad, large, each |
41 |
40 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
301 |
285 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
159 |
155 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
103 |
89 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
59 |
55 |
$17.92 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$0.00 |