| 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 |
4,975 |
4,254 |
$246K |
| A7030 |
Full face mask used with positive airway pressure device, each |
406 |
375 |
$36K |
| E0570 |
Nebulizer, with compressor |
907 |
799 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,574 |
2,245 |
$27K |
| E0601 |
Continuous positive airway pressure (cpap) device |
474 |
455 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
606 |
553 |
$20K |
| T4541 |
Incontinence product, disposable underpad, large, each |
837 |
723 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
345 |
320 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
595 |
552 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,389 |
1,250 |
$7K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
208 |
175 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
196 |
184 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
61 |
53 |
$1K |
| K0001 |
Standard wheelchair |
13 |
12 |
$516.58 |
| A7036 |
Chinstrap used with positive airway pressure device |
38 |
37 |
$372.43 |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$118.66 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$92.32 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
302 |
120 |
$0.00 |