| 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 |
1,921 |
1,777 |
$308K |
| A4670 |
Automatic blood pressure monitor |
3,438 |
3,186 |
$217K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,955 |
1,884 |
$134K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,870 |
1,702 |
$130K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
801 |
782 |
$86K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,193 |
1,170 |
$58K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
387 |
375 |
$46K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
392 |
385 |
$46K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
398 |
348 |
$43K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
396 |
325 |
$42K |
| E0570 |
Nebulizer, with compressor |
329 |
281 |
$30K |
| K0001 |
Standard wheelchair |
317 |
316 |
$16K |
| E0156 |
Seat attachment, walker |
566 |
491 |
$12K |
| A4927 |
Gloves, non-sterile, per 100 |
571 |
540 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
988 |
900 |
$4K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
80 |
78 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
12 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
663 |
585 |
$991.67 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25 |
25 |
$687.21 |
| E1639 |
Scale, each |
12 |
12 |
$280.08 |