| 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 |
7,374 |
7,269 |
$741K |
| E0570 |
Nebulizer, with compressor |
8,063 |
8,023 |
$130K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,474 |
6,171 |
$123K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,414 |
1,414 |
$91K |
| A7030 |
Full face mask used with positive airway pressure device, each |
707 |
704 |
$86K |
| T4541 |
Incontinence product, disposable underpad, large, each |
469 |
457 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
854 |
847 |
$54K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
224 |
172 |
$50K |
| K0001 |
Standard wheelchair |
1,120 |
1,113 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
600 |
600 |
$30K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
181 |
179 |
$25K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
147 |
146 |
$21K |
| E1392 |
Portable oxygen concentrator, rental |
450 |
450 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,064 |
2,047 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
638 |
638 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
458 |
456 |
$11K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
72 |
72 |
$9K |
| 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) |
53 |
53 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
425 |
417 |
$7K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
1,025 |
912 |
$5K |
| B9998 |
Noc for enteral supplies |
42 |
38 |
$5K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
25 |
25 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
214 |
213 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
25 |
25 |
$2K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
893 |
887 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
442 |
441 |
$704.64 |
| A7037 |
Tubing used with positive airway pressure device |
24 |
24 |
$551.76 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
64 |
63 |
$177.54 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14 |
12 |
$105.30 |