| 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 |
2,081 |
1,939 |
$132K |
| E0570 |
Nebulizer, with compressor |
2,623 |
2,373 |
$107K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,219 |
1,024 |
$43K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,063 |
971 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,533 |
1,445 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
954 |
869 |
$9K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
69 |
64 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
146 |
136 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,548 |
1,391 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,928 |
1,746 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
18 |
12 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
49 |
41 |
$502.14 |
| K0001 |
Standard wheelchair |
26 |
25 |
$424.43 |
| A7035 |
Headgear used with positive airway pressure device |
29 |
25 |
$239.21 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
14 |
$221.50 |