| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,572 |
2,863 |
$102K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,227 |
1,071 |
$62K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,609 |
1,372 |
$61K |
| K0001 |
Standard wheelchair |
1,871 |
1,497 |
$37K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
417 |
347 |
$35K |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
1,276 |
1,013 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
224 |
202 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,645 |
1,311 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
264 |
240 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
111 |
94 |
$7K |
| E0570 |
Nebulizer, with compressor |
344 |
289 |
$4K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
15 |
12 |
$696.33 |