| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,642 |
2,470 |
$223K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,020 |
1,939 |
$150K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,641 |
2,504 |
$102K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,405 |
1,312 |
$94K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,373 |
2,277 |
$66K |
| A4927 |
Gloves, non-sterile, per 100 |
2,426 |
2,288 |
$33K |
| E0601 |
Continuous positive airway pressure (cpap) device |
901 |
861 |
$33K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,108 |
1,047 |
$27K |
| E0570 |
Nebulizer, with compressor |
455 |
435 |
$5K |
| K0001 |
Standard wheelchair |
276 |
238 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
72 |
66 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15 |
13 |
$32.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$25.80 |