| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,477 |
4,473 |
$316K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,405 |
4,402 |
$76K |
| A7030 |
Full face mask used with positive airway pressure device, each |
661 |
660 |
$65K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
429 |
429 |
$59K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
723 |
708 |
$38K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
249 |
247 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
971 |
971 |
$21K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
185 |
181 |
$20K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
100 |
99 |
$17K |
| T4541 |
Incontinence product, disposable underpad, large, each |
390 |
387 |
$16K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
151 |
149 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
746 |
746 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
81 |
81 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,244 |
1,241 |
$6K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
82 |
81 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
243 |
243 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
134 |
133 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
14 |
$487.43 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
109 |
109 |
$389.12 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$333.48 |