| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,580 |
4,214 |
$336K |
| A4554 |
Disposable underpads, all sizes |
5,915 |
5,502 |
$282K |
| A4927 |
Gloves, non-sterile, per 100 |
12,147 |
11,335 |
$262K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,783 |
2,606 |
$210K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,149 |
1,976 |
$184K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,101 |
1,963 |
$183K |
| E0601 |
Continuous positive airway pressure (cpap) device |
858 |
703 |
$39K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
536 |
484 |
$17K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
357 |
308 |
$9K |
| E0570 |
Nebulizer, with compressor |
405 |
372 |
$9K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
47 |
39 |
$3K |
| K0001 |
Standard wheelchair |
257 |
220 |
$3K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
47 |
39 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
202 |
181 |
$276.65 |