| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
3,445 |
3,218 |
$358K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,796 |
2,497 |
$134K |
| A4554 |
Disposable underpads, all sizes |
1,915 |
1,755 |
$46K |
| E0601 |
Continuous positive airway pressure (cpap) device |
786 |
711 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,915 |
1,699 |
$22K |
| E0570 |
Nebulizer, with compressor |
598 |
552 |
$11K |
| K0001 |
Standard wheelchair |
309 |
274 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
421 |
377 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
36 |
36 |
$922.94 |
| A7035 |
Headgear used with positive airway pressure device |
16 |
12 |
$412.21 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
12 |
$412.21 |
| A7030 |
Full face mask used with positive airway pressure device, each |
16 |
12 |
$412.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$21.53 |