| 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 |
11,516 |
10,968 |
$645K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,146 |
8,799 |
$79K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,184 |
1,152 |
$48K |
| 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) |
413 |
397 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
439 |
433 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
249 |
246 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
459 |
450 |
$13K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
53 |
52 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
211 |
187 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
406 |
398 |
$7K |
| K0001 |
Standard wheelchair |
556 |
511 |
$6K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
298 |
292 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
151 |
150 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
378 |
367 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
97 |
95 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,637 |
1,522 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
475 |
461 |
$5K |
| E0570 |
Nebulizer, with compressor |
153 |
151 |
$3K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
61 |
57 |
$739.26 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
13 |
$114.57 |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$90.20 |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
12 |
12 |
$72.00 |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
49 |
48 |
$42.00 |
| A4615 |
Cannula, nasal |
35 |
26 |
$1.64 |