| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5122 |
Skin barrier; solid, 8 x 8 or equivalent, each |
4,342 |
3,315 |
$373K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,816 |
2,910 |
$328K |
| A4554 |
Disposable underpads, all sizes |
2,886 |
2,185 |
$135K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,381 |
1,353 |
$104K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
477 |
472 |
$60K |
| A4927 |
Gloves, non-sterile, per 100 |
4,432 |
3,494 |
$42K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
302 |
290 |
$33K |
| E0601 |
Continuous positive airway pressure (cpap) device |
420 |
411 |
$15K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
248 |
229 |
$15K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
88 |
77 |
$3K |