| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,250 |
2,782 |
$241K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,038 |
995 |
$132K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,088 |
936 |
$100K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,402 |
2,102 |
$75K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,336 |
2,143 |
$71K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
964 |
847 |
$67K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
566 |
541 |
$64K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
955 |
846 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
2,491 |
2,178 |
$46K |
| A4927 |
Gloves, non-sterile, per 100 |
2,504 |
2,396 |
$44K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
410 |
383 |
$44K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,661 |
1,487 |
$40K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
424 |
405 |
$37K |
| E0570 |
Nebulizer, with compressor |
842 |
592 |
$21K |
| K0001 |
Standard wheelchair |
1,260 |
1,016 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,702 |
3,242 |
$19K |
| T4541 |
Incontinence product, disposable underpad, large, each |
491 |
460 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
290 |
254 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,048 |
898 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
81 |
75 |
$4K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
115 |
115 |
$3K |