| 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 |
2,672 |
2,671 |
$178K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,801 |
2,778 |
$142K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,423 |
1,405 |
$124K |
| E0570 |
Nebulizer, with compressor |
1,679 |
1,679 |
$97K |
| E0601 |
Continuous positive airway pressure (cpap) device |
747 |
744 |
$45K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,104 |
1,101 |
$42K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
345 |
345 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,899 |
1,897 |
$22K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
223 |
221 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
913 |
911 |
$16K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
616 |
616 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
85 |
85 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
62 |
62 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
38 |
38 |
$705.52 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
29 |
29 |
$116.07 |
| A7015 |
Aerosol mask, used with dme nebulizer |
19 |
19 |
$23.84 |