| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,869 |
3,735 |
$174K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
920 |
818 |
$83K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
123 |
117 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
421 |
401 |
$18K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
67 |
67 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
347 |
279 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
404 |
386 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
115 |
108 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
579 |
555 |
$4K |
| A4452 |
Tape, waterproof, per 18 square inches |
194 |
154 |
$4K |
| 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 |
38 |
27 |
$3K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
15 |
13 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
28 |
28 |
$2K |
| A4670 |
Automatic blood pressure monitor |
29 |
28 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
35 |
35 |
$2K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
14 |
13 |
$1K |
| E0570 |
Nebulizer, with compressor |
28 |
25 |
$765.70 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
41 |
40 |
$531.32 |
| 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 |
13 |
12 |
$509.35 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
16 |
12 |
$118.88 |