| 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 |
490 |
428 |
$40K |
| E0601 |
Continuous positive airway pressure (cpap) device |
568 |
468 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
269 |
218 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
301 |
260 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
364 |
290 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
168 |
138 |
$12K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
90 |
83 |
$11K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
58 |
58 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
254 |
211 |
$10K |
| E0570 |
Nebulizer, with compressor |
119 |
115 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
344 |
284 |
$7K |
| 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) |
33 |
26 |
$7K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
59 |
46 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
603 |
491 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
79 |
74 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
207 |
176 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
179 |
152 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
81 |
67 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
60 |
56 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
118 |
108 |
$470.81 |
| A7037 |
Tubing used with positive airway pressure device |
33 |
31 |
$423.07 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$333.71 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
165 |
153 |
$254.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
29 |
29 |
$54.04 |