| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
3,240 |
3,140 |
$139K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,652 |
1,614 |
$139K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,412 |
1,371 |
$125K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,967 |
1,894 |
$120K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,368 |
1,329 |
$118K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,716 |
1,561 |
$41K |
| A4927 |
Gloves, non-sterile, per 100 |
3,358 |
3,260 |
$40K |
| E0601 |
Continuous positive airway pressure (cpap) device |
452 |
368 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
912 |
847 |
$6K |
| E0570 |
Nebulizer, with compressor |
185 |
182 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
14 |
13 |
$3.50 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14 |
13 |
$2.82 |