| 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 |
8,469 |
7,950 |
$576K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,462 |
3,250 |
$182K |
| E1392 |
Portable oxygen concentrator, rental |
4,230 |
3,894 |
$74K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,856 |
3,619 |
$70K |
| A7030 |
Full face mask used with positive airway pressure device, each |
814 |
780 |
$62K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,672 |
2,532 |
$61K |
| T4541 |
Incontinence product, disposable underpad, large, each |
868 |
831 |
$57K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,270 |
1,215 |
$44K |
| E0570 |
Nebulizer, with compressor |
525 |
505 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
874 |
830 |
$17K |
| 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) |
104 |
103 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
511 |
492 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
208 |
192 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
68 |
67 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,686 |
1,575 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
285 |
283 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
302 |
294 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
99 |
99 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
373 |
370 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
311 |
293 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
180 |
171 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
14 |
14 |
$2K |
| K0001 |
Standard wheelchair |
25 |
24 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
12 |
$877.73 |
| A4927 |
Gloves, non-sterile, per 100 |
55 |
50 |
$775.11 |