| 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 |
4,608 |
4,568 |
$331K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,042 |
2,961 |
$100K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,240 |
3,178 |
$59K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
253 |
251 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,498 |
3,408 |
$34K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
102 |
96 |
$10K |
| A4554 |
Disposable underpads, all sizes |
227 |
211 |
$7K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
296 |
43 |
$7K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
205 |
198 |
$6K |
| A4927 |
Gloves, non-sterile, per 100 |
447 |
369 |
$2K |
| E0570 |
Nebulizer, with compressor |
386 |
377 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
220 |
215 |
$2K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
28 |
24 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
29 |
28 |
$2K |
| K0001 |
Standard wheelchair |
58 |
51 |
$790.99 |
| A7037 |
Tubing used with positive airway pressure device |
44 |
44 |
$465.84 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
239 |
232 |
$414.02 |