| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
1,872 |
1,755 |
$171K |
| E0601 |
Cont airway pressure device |
3,694 |
2,654 |
$132K |
| T4528 |
Adult size pull-on xl |
1,686 |
1,498 |
$127K |
| T4526 |
Adult size pull-on med |
1,255 |
1,181 |
$112K |
| A4554 |
Disposable underpads |
3,493 |
3,288 |
$98K |
| T4535 |
Disposable liner/shield/pad |
1,185 |
1,090 |
$61K |
| A4927 |
Non-sterile gloves |
2,941 |
2,746 |
$40K |
| A4253 |
Blood glucose/reagent strips |
497 |
436 |
$22K |
| E1390 |
Oxygen concentrator |
546 |
400 |
$21K |
| K0001 |
Standard wheelchair |
1,038 |
822 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
57 |
51 |
$8K |
| A4259 |
Lancets per box |
477 |
418 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
255 |
230 |
$5K |
| A5120 |
Skin barrier, wipe or swab |
468 |
275 |
$3K |
| E0570 |
Nebulizer with compression |
196 |
148 |
$3K |
| A7038 |
Pos airway pressure filter |
389 |
343 |
$1K |