| 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 |
15,465 |
15,261 |
$1.08M |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
7,029 |
2,123 |
$366K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,814 |
9,670 |
$344K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,044 |
2,030 |
$284K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,088 |
10,889 |
$205K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,757 |
1,744 |
$144K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
11,534 |
11,367 |
$115K |
| 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) |
483 |
474 |
$98K |
| A4554 |
Disposable underpads, all sizes |
1,834 |
1,730 |
$96K |
| 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) |
935 |
931 |
$74K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
680 |
627 |
$60K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
2,158 |
1,907 |
$56K |
| K0001 |
Standard wheelchair |
2,839 |
2,774 |
$54K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
76 |
75 |
$50K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
734 |
726 |
$38K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
455 |
401 |
$36K |
| A4927 |
Gloves, non-sterile, per 100 |
2,989 |
2,727 |
$33K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
516 |
508 |
$31K |
| E0570 |
Nebulizer, with compressor |
3,212 |
3,140 |
$25K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
471 |
133 |
$23K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
503 |
487 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,006 |
960 |
$17K |
| K0004 |
High strength, lightweight wheelchair |
387 |
383 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
464 |
445 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
2,817 |
2,772 |
$12K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
282 |
275 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,865 |
1,852 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
430 |
423 |
$7K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
56 |
52 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,102 |
3,030 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
74 |
60 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
30 |
27 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
257 |
252 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
41 |
40 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
17 |
13 |
$1K |
| A7526 |
Tracheostomy tube collar/holder, each |
12 |
12 |
$1K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
12 |
12 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$422.01 |
| A7000 |
Canister, disposable, used with suction pump, each |
37 |
36 |
$312.28 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
28 |
28 |
$215.85 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
13 |
$0.00 |