| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
6,732 |
5,526 |
$1.22M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
10,085 |
9,464 |
$968K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,504 |
6,082 |
$601K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,525 |
5,109 |
$523K |
| T4541 |
Incontinence product, disposable underpad, large, each |
19,633 |
18,400 |
$522K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,151 |
10,351 |
$468K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,607 |
1,487 |
$260K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,231 |
4,654 |
$235K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,286 |
2,634 |
$192K |
| A4927 |
Gloves, non-sterile, per 100 |
13,709 |
12,608 |
$168K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,426 |
1,238 |
$98K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,365 |
2,165 |
$92K |
| E0570 |
Nebulizer, with compressor |
2,673 |
2,443 |
$85K |
| A4670 |
Automatic blood pressure monitor |
1,509 |
1,237 |
$76K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,595 |
2,257 |
$58K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,320 |
1,978 |
$53K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
479 |
412 |
$44K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
952 |
804 |
$39K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
772 |
663 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,083 |
1,817 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,070 |
1,622 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
187 |
170 |
$26K |
| K0001 |
Standard wheelchair |
1,106 |
919 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,149 |
4,437 |
$18K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
210 |
210 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,029 |
826 |
$17K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
125 |
124 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
243 |
207 |
$13K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
103 |
94 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
555 |
469 |
$9K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
40 |
25 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
814 |
708 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
918 |
839 |
$5K |
| A4335 |
Incontinence supply; miscellaneous |
239 |
225 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
64 |
60 |
$3K |
| W0137 |
|
49 |
49 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
60 |
60 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
336 |
238 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
543 |
474 |
$1K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
26 |
26 |
$589.58 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
26 |
$27.31 |