| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4154 |
Ef spec metabolic noninherit |
4,587 |
4,422 |
$608K |
| T4541 |
Large disposable underpad |
4,156 |
4,041 |
$279K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,381 |
1,285 |
$189K |
| T4526 |
Adult size pull-on med |
1,287 |
1,240 |
$155K |
| T4527 |
Adult size pull-on lg |
1,208 |
1,177 |
$143K |
| T4535 |
Disposable liner/shield/pad |
2,188 |
2,117 |
$99K |
| E0570 |
Nebulizer with compression |
622 |
561 |
$44K |
| A4927 |
Non-sterile gloves |
2,581 |
2,492 |
$38K |
| E0603 |
Electric breast pump |
380 |
355 |
$38K |
| T4528 |
Adult size pull-on xl |
180 |
179 |
$26K |
| A5120 |
Skin barrier, wipe or swab |
2,921 |
2,796 |
$25K |
| E0601 |
Cont airway pressure device |
427 |
392 |
$17K |
| E1390 |
Oxygen concentrator |
130 |
123 |
$13K |
| A7005 |
Nondisposable nebulizer set |
578 |
522 |
$11K |
| A7038 |
Pos airway pressure filter |
991 |
959 |
$5K |
| A7032 |
Replacement nasal cushion |
155 |
149 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
715 |
674 |
$932.34 |
| A7013 |
Disposable compressor filter |
437 |
432 |
$404.67 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$357.78 |
| A7035 |
Pos airway press headgear |
14 |
12 |
$188.65 |