| 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 |
4,929 |
3,464 |
$251K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,967 |
2,873 |
$165K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,514 |
1,602 |
$56K |
| A7030 |
Full face mask used with positive airway pressure device, each |
654 |
480 |
$52K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,833 |
1,175 |
$34K |
| E0570 |
Nebulizer, with compressor |
1,465 |
975 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
2,010 |
1,349 |
$27K |
| A4554 |
Disposable underpads, all sizes |
603 |
495 |
$26K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
258 |
211 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,242 |
882 |
$18K |
| K0001 |
Standard wheelchair |
2,475 |
1,521 |
$17K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
171 |
113 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
517 |
361 |
$13K |
| 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 |
1,139 |
770 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
267 |
191 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
629 |
459 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
284 |
207 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,177 |
1,545 |
$6K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
14 |
12 |
$416.12 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
71 |
52 |
$245.59 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
13 |
$209.20 |