| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
4,213 |
4,187 |
$464K |
| T4526 |
Adult size pull-on med |
3,532 |
3,495 |
$319K |
| T4541 |
Large disposable underpad |
5,628 |
5,583 |
$309K |
| T4537 |
Reusable underpad bed size |
6,261 |
6,198 |
$268K |
| T4535 |
Disposable liner/shield/pad |
5,318 |
5,267 |
$258K |
| T4528 |
Adult size pull-on xl |
2,262 |
2,253 |
$244K |
| A4927 |
Non-sterile gloves |
14,535 |
14,243 |
$177K |
| E1390 |
Oxygen concentrator |
2,242 |
2,214 |
$157K |
| T4534 |
Youth size pull-on |
1,443 |
1,432 |
$152K |
| E0570 |
Nebulizer with compression |
2,532 |
2,494 |
$125K |
| E0601 |
Cont airway pressure device |
1,286 |
1,271 |
$105K |
| T4523 |
Adult size brief/diaper lg |
826 |
809 |
$94K |
| T4530 |
Ped size brief/diaper lg |
1,162 |
1,152 |
$87K |
| T4532 |
Ped size pull-on lg |
997 |
986 |
$84K |
| T4533 |
Youth size brief/diaper |
994 |
987 |
$75K |
| T4525 |
Adult size pull-on sm |
593 |
575 |
$61K |
| T4544 |
Adlt disp und/pull on abv xl |
312 |
311 |
$59K |
| A7005 |
Nondisposable nebulizer set |
1,216 |
1,200 |
$31K |
| K0823 |
Pwc gp 2 std cap chair |
162 |
148 |
$30K |
| A4351 |
Straight tip urine catheter |
184 |
180 |
$30K |
| E0431 |
Portable gaseous 02 |
1,945 |
1,922 |
$26K |
| A7034 |
Nasal application device |
348 |
346 |
$22K |
| E0143 |
Walker folding wheeled w/o s |
454 |
442 |
$20K |
| K0001 |
Standard wheelchair |
773 |
759 |
$20K |
| A7035 |
Pos airway press headgear |
813 |
806 |
$18K |
| A4604 |
Tubing with heating element |
374 |
366 |
$15K |
| A7030 |
Cpap full face mask |
142 |
141 |
$14K |
| E0114 |
Crutch underarm pair no wood |
309 |
304 |
$13K |
| A4314 |
Cath w/drainage 2-way latex |
139 |
127 |
$10K |
| A7038 |
Pos airway pressure filter |
1,271 |
1,249 |
$7K |
| E0562 |
Humidifier heated used w pap |
37 |
37 |
$6K |
| T4522 |
Adult size brief/diaper med |
39 |
39 |
$4K |
| T4524 |
Adult size brief/diaper xl |
28 |
26 |
$4K |
| A7046 |
Repl water chamber, pap dev |
322 |
318 |
$3K |
| A7037 |
Pos airway pressure tubing |
186 |
186 |
$3K |
| A7039 |
Filter, non disposable w pap |
377 |
376 |
$3K |
| E1028 |
W/c manual swingaway |
326 |
286 |
$3K |
| E0156 |
Walker seat attachment |
278 |
269 |
$3K |
| E0630 |
Patient lift hydraulic |
37 |
37 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
971 |
957 |
$2K |
| A5500 |
Diab shoe for density insert |
28 |
27 |
$1K |
| E0600 |
Suction pump portab hom modl |
28 |
25 |
$1K |
| A7000 |
Disposable canister for pump |
41 |
37 |
$714.00 |
| A7003 |
Nebulizer administration set |
973 |
950 |
$596.67 |
| E0255 |
Hospital bed var ht w/ mattr |
26 |
26 |
$474.94 |
| A7002 |
Tubing used w suction pump |
30 |
25 |
$417.34 |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$348.02 |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$217.37 |