| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,919 |
1,871 |
$83K |
| E0570 |
Nebulizer, with compressor |
1,228 |
1,200 |
$61K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
415 |
368 |
$56K |
| A4335 |
Incontinence supply; miscellaneous |
1,506 |
1,443 |
$48K |
| A4927 |
Gloves, non-sterile, per 100 |
628 |
548 |
$33K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
141 |
112 |
$20K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
234 |
220 |
$14K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
89 |
82 |
$11K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
272 |
268 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
133 |
133 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,086 |
1,081 |
$4K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
16 |
13 |
$3K |
| K0001 |
Standard wheelchair |
194 |
152 |
$2K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
17 |
13 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
106 |
106 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
368 |
358 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
22 |
12 |
$477.46 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
25 |
24 |
$99.85 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
13 |
$28.00 |