| 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 |
1,805 |
1,741 |
$135K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,593 |
1,543 |
$97K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,250 |
1,145 |
$43K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,224 |
1,146 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
811 |
783 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
570 |
522 |
$22K |
| E0570 |
Nebulizer, with compressor |
1,614 |
1,564 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,164 |
1,105 |
$15K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
210 |
210 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
170 |
165 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
897 |
849 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,744 |
2,564 |
$14K |
| A4927 |
Gloves, non-sterile, per 100 |
505 |
427 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
27 |
26 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
347 |
327 |
$2K |
| T4541 |
Incontinence product, disposable underpad, large, each |
25 |
24 |
$449.09 |