| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
596 |
579 |
$46K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
343 |
320 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
102 |
100 |
$22K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
168 |
161 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
626 |
613 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
117 |
113 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
175 |
172 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
52 |
50 |
$3K |
| E0570 |
Nebulizer, with compressor |
25 |
25 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
539 |
514 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
111 |
106 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
24 |
24 |
$860.25 |
| A7035 |
Headgear used with positive airway pressure device |
179 |
176 |
$854.92 |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
12 |
12 |
$496.34 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
28 |
24 |
$33.77 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$29.36 |