| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,995 |
3,246 |
$472K |
| 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) |
2,216 |
1,444 |
$420K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,472 |
3,120 |
$269K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,276 |
2,095 |
$257K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,462 |
2,004 |
$211K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,614 |
2,065 |
$196K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,370 |
3,692 |
$183K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,872 |
3,661 |
$160K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,257 |
2,461 |
$127K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,158 |
1,628 |
$124K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,116 |
867 |
$99K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,158 |
934 |
$93K |
| A4927 |
Gloves, non-sterile, per 100 |
6,108 |
4,152 |
$88K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,228 |
2,135 |
$73K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,440 |
2,582 |
$70K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,419 |
1,236 |
$69K |
| A7035 |
Headgear used with positive airway pressure device |
3,573 |
2,754 |
$67K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,225 |
5,667 |
$48K |
| K0001 |
Standard wheelchair |
3,606 |
2,410 |
$46K |
| E0570 |
Nebulizer, with compressor |
2,086 |
1,482 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,911 |
1,968 |
$36K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
196 |
177 |
$18K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
193 |
155 |
$14K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
499 |
419 |
$13K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
223 |
172 |
$13K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
105 |
100 |
$11K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
59 |
57 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,012 |
848 |
$9K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
159 |
148 |
$9K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
411 |
274 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
178 |
141 |
$8K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
101 |
83 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
170 |
142 |
$7K |
| A4670 |
Automatic blood pressure monitor |
131 |
95 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
216 |
195 |
$4K |
| K0003 |
Lightweight wheelchair |
112 |
80 |
$2K |
| E0156 |
Seat attachment, walker |
207 |
61 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
17 |
12 |
$692.51 |
| A7036 |
Chinstrap used with positive airway pressure device |
44 |
38 |
$387.92 |