| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
2,073 |
1,864 |
$205K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,317 |
2,044 |
$119K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,564 |
1,377 |
$23K |
| E0601 |
Continuous positive airway pressure (cpap) device |
607 |
555 |
$21K |
| A4554 |
Disposable underpads, all sizes |
496 |
454 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
325 |
293 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
439 |
390 |
$4K |
| K0001 |
Standard wheelchair |
68 |
65 |
$736.15 |
| A7037 |
Tubing used with positive airway pressure device |
38 |
36 |
$486.43 |
| A7035 |
Headgear used with positive airway pressure device |
14 |
13 |
$158.27 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$70.75 |