| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
981 |
551 |
$377K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,649 |
2,354 |
$200K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,272 |
1,390 |
$184K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,203 |
720 |
$74K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,029 |
1,618 |
$70K |
| E0570 |
Nebulizer, with compressor |
1,913 |
1,045 |
$46K |
| K0001 |
Standard wheelchair |
3,171 |
1,856 |
$39K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,627 |
977 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
939 |
683 |
$26K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,299 |
831 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,761 |
1,736 |
$24K |
| A4927 |
Gloves, non-sterile, per 100 |
1,307 |
843 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
752 |
525 |
$12K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
157 |
115 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,606 |
1,124 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
152 |
133 |
$8K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
257 |
210 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
60 |
49 |
$5K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
45 |
39 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
102 |
82 |
$3K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
14 |
12 |
$1K |