| 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 |
8,380 |
8,237 |
$809K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,165 |
2,153 |
$244K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,361 |
3,324 |
$230K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,949 |
1,921 |
$144K |
| E0570 |
Nebulizer, with compressor |
3,109 |
3,091 |
$137K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,327 |
2,314 |
$131K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,200 |
3,171 |
$127K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,980 |
5,886 |
$100K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,410 |
1,395 |
$99K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,714 |
3,674 |
$74K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
645 |
624 |
$67K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,334 |
1,314 |
$65K |
| A7035 |
Headgear used with positive airway pressure device |
2,552 |
2,531 |
$55K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
497 |
460 |
$53K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,250 |
5,202 |
$48K |
| K0001 |
Standard wheelchair |
1,909 |
1,883 |
$47K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
890 |
851 |
$47K |
| 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) |
354 |
353 |
$44K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
390 |
370 |
$36K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,426 |
1,392 |
$33K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
110 |
98 |
$17K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
396 |
392 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
395 |
391 |
$15K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
684 |
681 |
$14K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
177 |
80 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
544 |
538 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
263 |
261 |
$10K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
880 |
873 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
281 |
272 |
$6K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
93 |
93 |
$3K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
25 |
24 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,055 |
1,051 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
112 |
112 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
12 |
12 |
$817.80 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
17 |
17 |
$257.68 |
| A7015 |
Aerosol mask, used with dme nebulizer |
123 |
122 |
$176.72 |
| E0156 |
Seat attachment, walker |
15 |
13 |
$74.35 |