| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
15,457 |
14,962 |
$867K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,702 |
1,644 |
$170K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
10,972 |
10,708 |
$156K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,193 |
1,185 |
$120K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
5,176 |
4,691 |
$94K |
| A4554 |
Disposable underpads, all sizes |
2,065 |
2,042 |
$75K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
184 |
182 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,125 |
1,117 |
$20K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
144 |
144 |
$15K |
| A4335 |
Incontinence supply; miscellaneous |
2,654 |
2,638 |
$14K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
361 |
348 |
$13K |
| A7015 |
Aerosol mask, used with dme nebulizer |
12,077 |
11,705 |
$12K |
| B9998 |
Noc for enteral supplies |
164 |
142 |
$11K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
45 |
45 |
$6K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
36 |
36 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
25 |
25 |
$1K |
| K0001 |
Standard wheelchair |
28 |
28 |
$619.50 |
| L2630 |
Addition to lower extremity, pelvic control, band and belt, unilateral |
19 |
14 |
$179.98 |