| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,369 |
2,764 |
$137K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,428 |
1,044 |
$82K |
| A4554 |
Disposable underpads, all sizes |
1,459 |
1,378 |
$49K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
224 |
212 |
$22K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
158 |
141 |
$14K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
115 |
102 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
64 |
60 |
$3K |
| E0570 |
Nebulizer, with compressor |
270 |
258 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
107 |
92 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
138 |
126 |
$779.96 |