| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
19,192 |
19,155 |
$1.95M |
| T4541 |
Incontinence product, disposable underpad, large, each |
25,775 |
25,715 |
$1.66M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,819 |
7,613 |
$1.25M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
20,168 |
20,136 |
$1.12M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
15,745 |
15,707 |
$946K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
11,162 |
11,145 |
$924K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
8,546 |
8,534 |
$840K |
| K0001 |
Standard wheelchair |
10,462 |
10,426 |
$658K |
| A7028 |
Oral cushion for combination oral/nasal mask, replacement only, each |
3,028 |
3,010 |
$600K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,390 |
2,388 |
$580K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,910 |
7,895 |
$440K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
5,330 |
5,295 |
$439K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,623 |
5,610 |
$426K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
4,094 |
4,090 |
$411K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
21,781 |
21,734 |
$386K |
| A7035 |
Headgear used with positive airway pressure device |
9,863 |
9,849 |
$330K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,742 |
3,738 |
$276K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,473 |
7,404 |
$214K |
| A7027 |
Combination oral/nasal mask, used with continuous positive airway pressure device, each |
2,053 |
2,045 |
$213K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,344 |
1,342 |
$202K |
| 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) |
975 |
975 |
$199K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,529 |
2,515 |
$186K |
| A7031 |
Face mask interface, replacement for full face mask, each |
803 |
803 |
$143K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
1,055 |
1,047 |
$130K |
| A7037 |
Tubing used with positive airway pressure device |
3,796 |
3,789 |
$125K |
| E0245 |
Tub stool or bench |
1,927 |
1,926 |
$113K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,250 |
1,247 |
$96K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
871 |
870 |
$90K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
801 |
799 |
$69K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
373 |
371 |
$67K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,177 |
2,175 |
$67K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
303 |
302 |
$39K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
223 |
223 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,319 |
1,317 |
$27K |
| E0570 |
Nebulizer, with compressor |
526 |
526 |
$27K |
| E0305 |
Bed side rails, half length |
1,263 |
1,251 |
$24K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
2,518 |
2,500 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,727 |
1,721 |
$15K |
| E0156 |
Seat attachment, walker |
506 |
506 |
$9K |
| E0271 |
Mattress, innerspring |
530 |
524 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
165 |
163 |
$6K |
| K0003 |
Lightweight wheelchair |
110 |
110 |
$6K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
104 |
71 |
$4K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
618 |
618 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
317 |
314 |
$2K |
| L3931 |
Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment |
56 |
52 |
$1K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
43 |
43 |
$792.86 |
| E0210 |
Electric heat pad, standard |
12 |
12 |
$607.04 |