| 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 |
4,240 |
3,639 |
$189K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,338 |
1,182 |
$40K |
| E0570 |
Nebulizer, with compressor |
1,125 |
1,052 |
$27K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
253 |
216 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,584 |
2,206 |
$23K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
63 |
51 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
492 |
465 |
$9K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
84 |
70 |
$8K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
117 |
104 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
126 |
113 |
$6K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
121 |
110 |
$6K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
436 |
401 |
$3K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
48 |
42 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
592 |
524 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
838 |
734 |
$3K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
16 |
14 |
$2K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
18 |
12 |
$2K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
97 |
87 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
42 |
39 |
$702.68 |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$688.65 |
| A7035 |
Headgear used with positive airway pressure device |
51 |
49 |
$515.23 |
| A7000 |
Canister, disposable, used with suction pump, each |
18 |
12 |
$464.50 |
| A4452 |
Tape, waterproof, per 18 square inches |
44 |
44 |
$462.76 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
13 |
12 |
$262.66 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
118 |
109 |
$258.24 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
24 |
$51.79 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$41.34 |