| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,627 |
1,532 |
$80K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
362 |
329 |
$40K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,002 |
962 |
$29K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
248 |
224 |
$25K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,340 |
1,270 |
$24K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
202 |
167 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
463 |
431 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
251 |
239 |
$16K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
81 |
75 |
$15K |
| A4927 |
Gloves, non-sterile, per 100 |
751 |
666 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
814 |
772 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,002 |
937 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
142 |
124 |
$3K |
| E0570 |
Nebulizer, with compressor |
485 |
443 |
$3K |
| K0001 |
Standard wheelchair |
136 |
128 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
95 |
94 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
525 |
495 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
98 |
90 |
$1K |