| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,134 |
3,667 |
$186K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
441 |
324 |
$36K |
| E0570 |
Nebulizer, with compressor |
3,053 |
2,302 |
$28K |
| 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) |
244 |
223 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,790 |
3,615 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,323 |
968 |
$16K |
| K0001 |
Standard wheelchair |
1,296 |
945 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
259 |
210 |
$6K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
73 |
69 |
$3K |
| A4554 |
Disposable underpads, all sizes |
53 |
51 |
$886.33 |
| A7037 |
Tubing used with positive airway pressure device |
73 |
57 |
$414.79 |
| A4245 |
Alcohol wipes, per box |
111 |
100 |
$413.50 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
216 |
164 |
$364.59 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
79 |
54 |
$307.13 |
| A7035 |
Headgear used with positive airway pressure device |
56 |
39 |
$179.64 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
14 |
$28.86 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
165 |
110 |
$23.40 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
18 |
12 |
$2.62 |