| 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 |
4,525 |
3,862 |
$287K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,619 |
2,265 |
$101K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
787 |
629 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
647 |
575 |
$48K |
| E0570 |
Nebulizer, with compressor |
1,582 |
1,388 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
1,597 |
1,397 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,295 |
1,139 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
976 |
792 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
591 |
496 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
305 |
262 |
$13K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
723 |
623 |
$10K |
| 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) |
76 |
71 |
$8K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
808 |
626 |
$7K |
| K0001 |
Standard wheelchair |
554 |
490 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
85 |
79 |
$7K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
83 |
65 |
$6K |
| A4554 |
Disposable underpads, all sizes |
217 |
184 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
163 |
134 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
243 |
207 |
$3K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
133 |
108 |
$706.16 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
192 |
184 |
$704.14 |