| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2028 |
Specialized supply, not otherwise specified, waiver |
3,871 |
1,218 |
$102K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,762 |
1,680 |
$80K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,272 |
1,213 |
$48K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
938 |
916 |
$44K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
454 |
447 |
$44K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,074 |
1,045 |
$38K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
446 |
425 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,924 |
3,693 |
$20K |
| A4927 |
Gloves, non-sterile, per 100 |
241 |
234 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
679 |
658 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
526 |
494 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
151 |
146 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
65 |
63 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
321 |
309 |
$3K |
| T4541 |
Incontinence product, disposable underpad, large, each |
48 |
48 |
$3K |