| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
6,415 |
5,943 |
$614K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,042 |
2,714 |
$180K |
| A4554 |
Disposable underpads, all sizes |
3,514 |
3,245 |
$82K |
| E0601 |
Continuous positive airway pressure (cpap) device |
820 |
761 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,807 |
1,628 |
$25K |
| E0570 |
Nebulizer, with compressor |
955 |
838 |
$25K |
| K0001 |
Standard wheelchair |
244 |
193 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
323 |
289 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
65 |
63 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
137 |
127 |
$823.96 |
| A7037 |
Tubing used with positive airway pressure device |
46 |
43 |
$774.60 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
12 |
$227.54 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
54 |
50 |
$44.58 |