| 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 |
1,785 |
1,347 |
$108K |
| E0601 |
Continuous positive airway pressure (cpap) device |
517 |
409 |
$49K |
| E0570 |
Nebulizer, with compressor |
667 |
504 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,330 |
1,020 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
253 |
211 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
242 |
199 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
715 |
575 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
73 |
68 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
207 |
183 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
92 |
88 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
56 |
46 |
$2K |
| T4541 |
Incontinence product, disposable underpad, large, each |
80 |
74 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
12 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13 |
12 |
$949.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
115 |
103 |
$177.98 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
12 |
$121.76 |
| A7015 |
Aerosol mask, used with dme nebulizer |
62 |
60 |
$87.60 |
| A9270 |
Non-covered item or service |
493 |
233 |
$0.00 |