| 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 |
6,134 |
4,728 |
$209K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
1,268 |
1,146 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,059 |
912 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,176 |
1,699 |
$30K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
128 |
103 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
276 |
168 |
$5K |
| 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) |
32 |
30 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
223 |
171 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
224 |
184 |
$3K |
| E0570 |
Nebulizer, with compressor |
78 |
65 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
14 |
12 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
764 |
542 |
$1K |
| K0001 |
Standard wheelchair |
26 |
24 |
$300.67 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
20 |
16 |
$30.46 |