| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
10,718 |
9,981 |
$474K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
8,580 |
7,763 |
$343K |
| 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) |
2,979 |
2,757 |
$308K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,656 |
2,355 |
$245K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,229 |
2,072 |
$111K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
860 |
578 |
$110K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
903 |
694 |
$70K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
1,246 |
983 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
2,982 |
2,776 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,038 |
3,572 |
$46K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,492 |
1,397 |
$43K |
| A7037 |
Tubing used with positive airway pressure device |
3,508 |
3,274 |
$40K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
95 |
73 |
$25K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
157 |
135 |
$24K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
1,078 |
877 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
956 |
883 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,470 |
2,350 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,863 |
5,407 |
$14K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,737 |
1,453 |
$13K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
136 |
113 |
$9K |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
53 |
44 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
289 |
254 |
$6K |
| A4452 |
Tape, waterproof, per 18 square inches |
384 |
311 |
$6K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
194 |
155 |
$5K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
1,214 |
1,038 |
$5K |
| E0570 |
Nebulizer, with compressor |
345 |
306 |
$4K |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
48 |
33 |
$3K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
100 |
78 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
60 |
60 |
$980.47 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
13 |
12 |
$561.36 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
213 |
205 |
$476.33 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
49 |
39 |
$357.49 |
| E1392 |
Portable oxygen concentrator, rental |
28 |
28 |
$348.98 |
| A4927 |
Gloves, non-sterile, per 100 |
28 |
17 |
$211.98 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$153.03 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
536 |
495 |
$93.49 |