| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
1,278 |
1,277 |
$64K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
872 |
872 |
$47K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
330 |
330 |
$41K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
246 |
246 |
$28K |
| A4335 |
Incontinence supply; miscellaneous |
643 |
625 |
$15K |
| K0001 |
Standard wheelchair |
356 |
356 |
$10K |
| A4456 |
Adhesive remover, wipes, any type, each |
659 |
659 |
$8K |
| A5120 |
Skin barrier, wipes or swabs, each |
686 |
686 |
$8K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
269 |
268 |
$7K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
83 |
83 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
33 |
27 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
630 |
629 |
$1K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
12 |
12 |
$645.86 |
| A7015 |
Aerosol mask, used with dme nebulizer |
270 |
270 |
$409.70 |