| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,922 |
2,634 |
$1.19M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
20,202 |
15,535 |
$1.08M |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,860 |
7,346 |
$353K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,735 |
2,376 |
$198K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,331 |
3,415 |
$196K |
| A4554 |
Disposable underpads, all sizes |
3,984 |
3,557 |
$193K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,919 |
1,522 |
$170K |
| 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) |
1,777 |
1,294 |
$170K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,933 |
1,593 |
$155K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,569 |
1,342 |
$138K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,067 |
1,554 |
$72K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
621 |
545 |
$61K |
| E0570 |
Nebulizer, with compressor |
2,876 |
2,300 |
$53K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
809 |
679 |
$46K |
| E1392 |
Portable oxygen concentrator, rental |
4,566 |
3,441 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,651 |
3,674 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
776 |
546 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
131 |
101 |
$16K |
| A4927 |
Gloves, non-sterile, per 100 |
1,007 |
847 |
$15K |
| K0001 |
Standard wheelchair |
1,065 |
859 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,463 |
1,077 |
$8K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
68 |
65 |
$7K |
| A4259 |
Lancets, per box of 100 |
480 |
393 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
112 |
101 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
253 |
208 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,598 |
1,192 |
$5K |
| 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 |
1,183 |
964 |
$5K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
83 |
62 |
$3K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
25 |
13 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
469 |
331 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
55 |
36 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
668 |
509 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
13 |
12 |
$537.25 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
23 |
12 |
$469.88 |
| E0156 |
Seat attachment, walker |
49 |
42 |
$405.82 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
40 |
27 |
$214.93 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
16 |
14 |
$143.84 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
21 |
12 |
$108.72 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
12 |
12 |
$68.83 |