| 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 |
3,431 |
3,065 |
$280K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,161 |
3,860 |
$198K |
| A4554 |
Disposable underpads, all sizes |
1,218 |
1,111 |
$68K |
| A4928 |
Surgical mask, per 20 |
1,048 |
1,022 |
$62K |
| A7030 |
Full face mask used with positive airway pressure device, each |
465 |
441 |
$56K |
| E0570 |
Nebulizer, with compressor |
1,684 |
1,552 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
1,796 |
1,696 |
$42K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
521 |
487 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,771 |
2,478 |
$39K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,470 |
1,397 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
930 |
875 |
$29K |
| K0001 |
Standard wheelchair |
1,826 |
1,722 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
102 |
98 |
$19K |
| A4670 |
Automatic blood pressure monitor |
311 |
304 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,223 |
3,007 |
$17K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
430 |
421 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
272 |
247 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
602 |
581 |
$5K |
| E0244 |
Raised toilet seat |
50 |
49 |
$4K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
41 |
40 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
200 |
185 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
215 |
206 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
820 |
719 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$483.56 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
200 |
181 |
$444.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
78 |
70 |
$216.04 |
| A4259 |
Lancets, per box of 100 |
97 |
91 |
$8.72 |