| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,173 |
2,173 |
$402K |
| E0570 |
Nebulizer, with compressor |
3,296 |
3,278 |
$312K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,376 |
1,374 |
$115K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,138 |
2,119 |
$100K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,270 |
1,250 |
$98K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,355 |
2,341 |
$83K |
| A4670 |
Automatic blood pressure monitor |
1,218 |
1,208 |
$65K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
3,047 |
3,042 |
$62K |
| K0001 |
Standard wheelchair |
979 |
954 |
$48K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
370 |
368 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
850 |
840 |
$37K |
| A4927 |
Gloves, non-sterile, per 100 |
1,347 |
1,335 |
$30K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
268 |
262 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
459 |
453 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
300 |
300 |
$12K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
724 |
699 |
$11K |
| E0245 |
Tub stool or bench |
236 |
230 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,487 |
1,474 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
74 |
74 |
$4K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
1,054 |
1,044 |
$3K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
153 |
153 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,376 |
1,373 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
89 |
89 |
$2K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
27 |
27 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
115 |
114 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
26 |
26 |
$811.53 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
15 |
14 |
$710.58 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
26 |
26 |
$299.25 |
| E0156 |
Seat attachment, walker |
15 |
15 |
$204.27 |