| 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 |
5,359 |
5,273 |
$309K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,800 |
5,713 |
$185K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,156 |
1,135 |
$160K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
760 |
640 |
$88K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,333 |
4,215 |
$65K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,251 |
6,129 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
565 |
556 |
$45K |
| K0001 |
Standard wheelchair |
1,582 |
1,546 |
$26K |
| E0570 |
Nebulizer, with compressor |
1,463 |
1,419 |
$17K |
| A4927 |
Gloves, non-sterile, per 100 |
1,144 |
1,028 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
203 |
202 |
$11K |
| A4554 |
Disposable underpads, all sizes |
472 |
444 |
$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) |
77 |
75 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
1,203 |
1,189 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
28 |
25 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
636 |
628 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
127 |
120 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
81 |
80 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,311 |
1,285 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
30 |
28 |
$954.13 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
160 |
158 |
$382.17 |
| A7000 |
Canister, disposable, used with suction pump, each |
13 |
13 |
$55.04 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
25 |
25 |
$35.84 |