| 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 |
12,399 |
11,299 |
$563K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,418 |
2,227 |
$78K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,991 |
5,368 |
$77K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
101 |
70 |
$12K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
175 |
140 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
422 |
335 |
$11K |
| 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 |
251 |
193 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
216 |
183 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
337 |
302 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,575 |
1,423 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
370 |
341 |
$3K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
12 |
12 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
185 |
157 |
$2K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
23 |
14 |
$2K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
90 |
77 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
242 |
219 |
$1K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
80 |
66 |
$959.02 |
| A7031 |
Face mask interface, replacement for full face mask, each |
55 |
40 |
$623.76 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
173 |
159 |
$559.06 |
| E0570 |
Nebulizer, with compressor |
13 |
12 |
$358.30 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$176.10 |