| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
22,326 |
16,108 |
$749K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,475 |
1,177 |
$228K |
| 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) |
2,372 |
1,659 |
$217K |
| A4554 |
Disposable underpads, all sizes |
1,212 |
1,111 |
$40K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,731 |
1,413 |
$39K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
358 |
330 |
$27K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
270 |
257 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,378 |
2,774 |
$12K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
83 |
55 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
2,022 |
1,638 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,581 |
1,263 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
696 |
602 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
485 |
406 |
$7K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
111 |
106 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,306 |
1,087 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,318 |
1,116 |
$5K |
| A4259 |
Lancets, per box of 100 |
284 |
261 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,828 |
1,488 |
$5K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
25 |
24 |
$2K |
| E0607 |
Home blood glucose monitor |
12 |
12 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
969 |
756 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
479 |
420 |
$926.86 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
74 |
52 |
$778.41 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
13 |
12 |
$67.08 |