| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,517 |
1,482 |
$61K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
932 |
873 |
$33K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
726 |
682 |
$24K |
| A4927 |
Gloves, non-sterile, per 100 |
1,403 |
1,374 |
$22K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
121 |
117 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
347 |
341 |
$6K |
| E0570 |
Nebulizer, with compressor |
85 |
84 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
38 |
36 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
77 |
77 |
$868.74 |
| E0601 |
Continuous positive airway pressure (cpap) device |
12 |
12 |
$197.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
81 |
79 |
$21.50 |