| 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 |
8,292 |
7,612 |
$350K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,093 |
2,834 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
377 |
338 |
$15K |
| 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 |
117 |
87 |
$4K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
36 |
27 |
$3K |
| A4452 |
Tape, waterproof, per 18 square inches |
114 |
97 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
141 |
133 |
$2K |
| E0570 |
Nebulizer, with compressor |
134 |
131 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
145 |
130 |
$1K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
71 |
54 |
$956.39 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
15 |
15 |
$764.89 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
17 |
15 |
$638.57 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
203 |
189 |
$502.77 |
| A7035 |
Headgear used with positive airway pressure device |
28 |
28 |
$475.79 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
40 |
38 |
$242.10 |