| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
2,237 |
2,179 |
$266K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,963 |
1,853 |
$129K |
| A4554 |
Disposable underpads, all sizes |
1,525 |
1,469 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
975 |
931 |
$21K |
| E0570 |
Nebulizer, with compressor |
482 |
477 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
270 |
256 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
387 |
359 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
132 |
123 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
73 |
73 |
$1K |
| K0001 |
Standard wheelchair |
80 |
77 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
16 |
14 |
$288.28 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
24 |
24 |
$141.20 |