| 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 |
1,948 |
1,867 |
$138K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,426 |
1,357 |
$101K |
| E0570 |
Nebulizer, with compressor |
2,086 |
1,992 |
$58K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,169 |
1,116 |
$57K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
297 |
287 |
$42K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
204 |
199 |
$36K |
| K0001 |
Standard wheelchair |
1,017 |
955 |
$28K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
174 |
162 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,277 |
1,219 |
$18K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
962 |
874 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$17.55 |