| 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 |
702 |
666 |
$73K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,297 |
1,209 |
$53K |
| E0570 |
Nebulizer, with compressor |
649 |
635 |
$21K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
278 |
260 |
$16K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
72 |
61 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
141 |
138 |
$3K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
24 |
12 |
$2K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
24 |
24 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
13 |
13 |
$439.77 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
163 |
158 |
$382.57 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
24 |
24 |
$118.70 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
88 |
85 |
$77.34 |