| 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 |
3,736 |
3,465 |
$198K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,452 |
2,274 |
$146K |
| A7030 |
Full face mask used with positive airway pressure device, each |
693 |
670 |
$60K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,724 |
1,663 |
$58K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,092 |
2,867 |
$44K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
769 |
752 |
$33K |
| E0570 |
Nebulizer, with compressor |
1,606 |
1,519 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
477 |
469 |
$29K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
717 |
692 |
$28K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
173 |
147 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
1,255 |
1,195 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,684 |
3,540 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
461 |
442 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
1,281 |
1,233 |
$13K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
53 |
51 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,351 |
1,257 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
609 |
597 |
$8K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
54 |
51 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
239 |
231 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
229 |
224 |
$6K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
26 |
24 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
29 |
26 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
357 |
336 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
13 |
$707.82 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
352 |
344 |
$404.83 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$22.98 |