| 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 |
6,127 |
5,777 |
$317K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,189 |
3,029 |
$93K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,149 |
1,071 |
$61K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
159 |
124 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,537 |
3,350 |
$39K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,009 |
967 |
$36K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,046 |
978 |
$28K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
216 |
190 |
$17K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
327 |
283 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,485 |
1,381 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
1,601 |
1,498 |
$13K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
183 |
162 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
746 |
676 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,582 |
1,473 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,354 |
2,179 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
434 |
419 |
$8K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
519 |
438 |
$7K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
758 |
659 |
$4K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
18 |
12 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
228 |
208 |
$3K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
83 |
75 |
$2K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
380 |
328 |
$2K |
| E0570 |
Nebulizer, with compressor |
72 |
66 |
$1K |
| A4452 |
Tape, waterproof, per 18 square inches |
87 |
78 |
$678.24 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
121 |
112 |
$636.76 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
148 |
127 |
$475.39 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
80 |
69 |
$385.89 |
| A6260 |
Wound cleansers, any type, any size |
26 |
25 |
$281.92 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$121.41 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$92.78 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
16 |
14 |
$12.00 |