| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
79,752 |
76,104 |
$2.26M |
| A7030 |
Full face mask used with positive airway pressure device, each |
19,240 |
18,549 |
$1.11M |
| 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) |
11,747 |
11,267 |
$724K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12,287 |
12,046 |
$718K |
| A7031 |
Face mask interface, replacement for full face mask, each |
22,646 |
21,670 |
$556K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,280 |
10,499 |
$520K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12,225 |
11,774 |
$434K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
2,657 |
2,420 |
$420K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13,408 |
12,256 |
$267K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
1,693 |
1,454 |
$255K |
| A7035 |
Headgear used with positive airway pressure device |
20,385 |
19,679 |
$238K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
9,109 |
8,910 |
$226K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,503 |
2,456 |
$212K |
| A7037 |
Tubing used with positive airway pressure device |
21,537 |
20,658 |
$180K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
62,088 |
57,015 |
$172K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
10,292 |
9,430 |
$166K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,096 |
2,034 |
$88K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,706 |
1,651 |
$67K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,508 |
7,178 |
$64K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,090 |
1,053 |
$36K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,801 |
4,712 |
$34K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
7,995 |
7,589 |
$27K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
219 |
206 |
$21K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
503 |
481 |
$21K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
730 |
714 |
$20K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
632 |
615 |
$16K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
339 |
329 |
$13K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
581 |
390 |
$9K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
120 |
118 |
$9K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
119 |
118 |
$8K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
108 |
99 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
169 |
165 |
$5K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
101 |
93 |
$5K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
501 |
344 |
$3K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
153 |
140 |
$3K |
| A4402 |
Lubricant, per ounce |
518 |
386 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
187 |
169 |
$1K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
303 |
246 |
$1K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
53 |
36 |
$644.27 |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$630.77 |
| A7036 |
Chinstrap used with positive airway pressure device |
69 |
56 |
$405.82 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
28 |
13 |
$73.80 |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
43 |
25 |
$0.00 |