| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,244 |
5,004 |
$235K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,094 |
1,923 |
$191K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
3,033 |
2,775 |
$172K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,789 |
1,637 |
$164K |
| A4554 |
Disposable underpads, all sizes |
3,467 |
3,207 |
$130K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
900 |
851 |
$83K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
831 |
763 |
$47K |
| A4259 |
Lancets, per box of 100 |
2,765 |
2,513 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,740 |
1,320 |
$22K |
| A4927 |
Gloves, non-sterile, per 100 |
379 |
345 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,410 |
1,083 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
450 |
330 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
638 |
471 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
220 |
154 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
436 |
320 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
21 |
12 |
$2K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
18 |
13 |
$247.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
75 |
63 |
$75.32 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
18 |
12 |
$37.00 |