| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,173 |
1,170 |
$143K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
613 |
607 |
$82K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,772 |
1,741 |
$75K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,164 |
1,049 |
$49K |
| E0570 |
Nebulizer, with compressor |
652 |
595 |
$9K |
| T4541 |
Incontinence product, disposable underpad, large, each |
99 |
99 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
327 |
301 |
$4K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13 |
13 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
51 |
51 |
$715.14 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
27 |
27 |
$540.66 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
136 |
129 |
$469.18 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$327.00 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
24 |
24 |
$224.39 |