| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,051 |
1,038 |
$107K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,144 |
2,135 |
$100K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
894 |
892 |
$80K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,617 |
1,611 |
$77K |
| E0570 |
Nebulizer, with compressor |
1,484 |
1,450 |
$66K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,198 |
1,196 |
$64K |
| A4927 |
Gloves, non-sterile, per 100 |
4,375 |
4,328 |
$54K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
503 |
502 |
$51K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
662 |
649 |
$36K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
631 |
618 |
$16K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
74 |
73 |
$13K |
| K0001 |
Standard wheelchair |
499 |
489 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
64 |
63 |
$9K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
36 |
36 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
361 |
353 |
$4K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
120 |
117 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
239 |
236 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
191 |
186 |
$309.78 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$201.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
359 |
351 |
$154.76 |