| 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 |
3,969 |
2,936 |
$140K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,581 |
1,415 |
$32K |
| E0570 |
Nebulizer, with compressor |
668 |
584 |
$21K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
214 |
189 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
398 |
270 |
$7K |
| A4554 |
Disposable underpads, all sizes |
163 |
156 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
24 |
24 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
138 |
129 |
$2K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
15 |
13 |
$1K |
| K0001 |
Standard wheelchair |
44 |
36 |
$296.40 |