| 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 |
3,307 |
3,270 |
$254K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,453 |
2,412 |
$161K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,080 |
1,067 |
$113K |
| A7031 |
Face mask interface, replacement for full face mask, each |
758 |
750 |
$53K |
| E0570 |
Nebulizer, with compressor |
987 |
961 |
$39K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
420 |
416 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,672 |
1,648 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
1,140 |
1,122 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
982 |
969 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
74 |
74 |
$13K |
| K0001 |
Standard wheelchair |
394 |
390 |
$11K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
41 |
41 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,132 |
1,118 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
192 |
188 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
106 |
104 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
456 |
451 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
332 |
331 |
$3K |
| W1895 |
|
39 |
27 |
$735.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
15 |
12 |
$679.29 |
| T4541 |
Incontinence product, disposable underpad, large, each |
25 |
25 |
$570.00 |