| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
2,303 |
2,208 |
$88K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
270 |
259 |
$36K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,736 |
1,694 |
$29K |
| A4927 |
Gloves, non-sterile, per 100 |
652 |
599 |
$19K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,007 |
938 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
374 |
371 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
818 |
794 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
179 |
171 |
$2K |
| K0001 |
Standard wheelchair |
527 |
526 |
$638.29 |
| A7015 |
Aerosol mask, used with dme nebulizer |
545 |
500 |
$570.01 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
162 |
162 |
$481.79 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
76 |
76 |
$109.13 |