| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,466 |
1,418 |
$163K |
| T4541 |
Incontinence product, disposable underpad, large, each |
489 |
485 |
$34K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
204 |
204 |
$22K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
228 |
227 |
$22K |
| E0570 |
Nebulizer, with compressor |
132 |
122 |
$13K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
280 |
278 |
$12K |
| A4670 |
Automatic blood pressure monitor |
99 |
93 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
143 |
135 |
$3K |
| E0605 |
Vaporizer, room type |
16 |
15 |
$360.14 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
15 |
13 |
$331.80 |
| A4927 |
Gloves, non-sterile, per 100 |
37 |
37 |
$282.34 |
| A7015 |
Aerosol mask, used with dme nebulizer |
172 |
166 |
$251.31 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
13 |
13 |
$166.18 |