| 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 |
8,821 |
7,853 |
$497K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,264 |
2,836 |
$118K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,174 |
1,079 |
$91K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
913 |
857 |
$79K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,714 |
5,892 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,487 |
1,322 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
1,665 |
1,534 |
$33K |
| E0570 |
Nebulizer, with compressor |
2,096 |
1,826 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
1,796 |
1,657 |
$30K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
734 |
634 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,381 |
2,217 |
$16K |
| K0001 |
Standard wheelchair |
872 |
754 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
150 |
138 |
$8K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
72 |
70 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
154 |
144 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
78 |
70 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
369 |
341 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
180 |
155 |
$3K |
| A4554 |
Disposable underpads, all sizes |
102 |
95 |
$2K |
| 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) |
27 |
25 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
97 |
88 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$685.33 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
12 |
$337.37 |