| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,872 |
1,755 |
$171K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,694 |
2,654 |
$132K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,686 |
1,498 |
$127K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,255 |
1,181 |
$112K |
| A4554 |
Disposable underpads, all sizes |
3,493 |
3,288 |
$98K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,185 |
1,090 |
$61K |
| A4927 |
Gloves, non-sterile, per 100 |
2,941 |
2,746 |
$40K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
497 |
436 |
$22K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
546 |
400 |
$21K |
| K0001 |
Standard wheelchair |
1,038 |
822 |
$9K |
| 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) |
57 |
51 |
$8K |
| A4259 |
Lancets, per box of 100 |
477 |
418 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
255 |
230 |
$5K |
| A5120 |
Skin barrier, wipes or swabs, each |
468 |
275 |
$3K |
| E0570 |
Nebulizer, with compressor |
196 |
148 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
389 |
343 |
$1K |