| 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 |
24,818 |
24,470 |
$1.78M |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
10,895 |
10,517 |
$390K |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,261 |
10,126 |
$381K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
6,963 |
1,918 |
$377K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,846 |
17,509 |
$337K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,979 |
1,967 |
$273K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
315 |
309 |
$214K |
| 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) |
1,015 |
998 |
$190K |
| 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) |
2,484 |
2,456 |
$185K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,021 |
2,006 |
$163K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13,419 |
13,236 |
$135K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,310 |
2,837 |
$88K |
| K0001 |
Standard wheelchair |
3,496 |
3,439 |
$71K |
| A4554 |
Disposable underpads, all sizes |
1,760 |
1,672 |
$64K |
| K0004 |
High strength, lightweight wheelchair |
975 |
960 |
$56K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,608 |
1,583 |
$52K |
| E0570 |
Nebulizer, with compressor |
6,555 |
6,461 |
$50K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
372 |
339 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
552 |
548 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,633 |
1,563 |
$28K |
| A4927 |
Gloves, non-sterile, per 100 |
2,921 |
2,615 |
$27K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,490 |
1,466 |
$23K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,394 |
1,355 |
$17K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
427 |
411 |
$13K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
181 |
51 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
2,959 |
2,916 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
310 |
304 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
651 |
643 |
$10K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
145 |
117 |
$8K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,874 |
1,816 |
$7K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
248 |
196 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
1,617 |
1,606 |
$6K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
213 |
202 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,012 |
2,954 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
54 |
49 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
71 |
57 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
28 |
25 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13 |
12 |
$1K |
| A4616 |
Tubing (oxygen), per foot |
252 |
245 |
$1K |
| A7526 |
Tracheostomy tube collar/holder, each |
12 |
12 |
$849.07 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
42 |
37 |
$408.28 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
60 |
52 |
$298.89 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
12 |
12 |
$114.60 |
| A7002 |
Tubing, used with suction pump, each |
41 |
40 |
$59.22 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
15 |
$0.06 |