| 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 |
2,049 |
2,042 |
$95K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,177 |
1,167 |
$54K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
463 |
462 |
$47K |
| E0570 |
Nebulizer, with compressor |
706 |
705 |
$39K |
| T4541 |
Incontinence product, disposable underpad, large, each |
505 |
505 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
375 |
373 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,462 |
1,454 |
$12K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
231 |
231 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
156 |
156 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$621.37 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
106 |
106 |
$133.61 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
24 |
24 |
$127.03 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
39 |
39 |
$106.78 |