| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
2,757 |
2,353 |
$275K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
3,526 |
3,078 |
$184K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
7,210 |
3,597 |
$165K |
| A4554 |
Disposable underpads, all sizes |
2,735 |
2,558 |
$165K |
| A4927 |
Gloves, non-sterile, per 100 |
2,080 |
1,954 |
$77K |
| A4930 |
Gloves, sterile, per pair |
607 |
565 |
$45K |
| A4335 |
Incontinence supply; miscellaneous |
2,606 |
2,451 |
$20K |
| A7015 |
Aerosol mask, used with dme nebulizer |
7,670 |
3,766 |
$13K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
74 |
60 |
$9K |
| A4670 |
Automatic blood pressure monitor |
154 |
146 |
$9K |
| A4617 |
Mouth piece |
2,201 |
1,114 |
$7K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
38 |
36 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,998 |
1,780 |
$5K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
3,700 |
3,337 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
176 |
158 |
$2K |
| A4614 |
Peak expiratory flow rate meter, hand held |
48 |
45 |
$1K |