| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,509 |
2,570 |
$506K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,425 |
1,146 |
$102K |
| E0601 |
Continuous positive airway pressure (cpap) device |
204 |
175 |
$7K |
| E0570 |
Nebulizer, with compressor |
556 |
520 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
176 |
149 |
$745.81 |
| A4927 |
Gloves, non-sterile, per 100 |
19 |
13 |
$194.13 |