| 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 |
3,123 |
2,415 |
$95K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
1,853 |
1,730 |
$66K |
| E0570 |
Nebulizer, with compressor |
1,328 |
1,075 |
$52K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
336 |
310 |
$15K |
| E0601 |
Continuous positive airway pressure (cpap) device |
495 |
345 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
705 |
534 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
512 |
469 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,373 |
1,141 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
32 |
24 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
179 |
108 |
$2K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
15 |
12 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
72 |
48 |
$56.04 |