| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
18,165 |
17,726 |
$2.17M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,222 |
3,080 |
$306K |
| A4554 |
Disposable underpads, all sizes |
9,280 |
9,070 |
$213K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,269 |
1,209 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,587 |
1,520 |
$34K |
| E0570 |
Nebulizer, with compressor |
1,299 |
1,237 |
$28K |
| K0001 |
Standard wheelchair |
860 |
829 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
409 |
384 |
$18K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
180 |
178 |
$4K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
183 |
181 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
58 |
57 |
$1K |
| E0245 |
Tub stool or bench |
13 |
13 |
$1K |
| K0007 |
Extra heavy duty wheelchair |
24 |
24 |
$938.46 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
50 |
45 |
$773.43 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
167 |
162 |
$621.59 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
15 |
$460.01 |
| A7037 |
Tubing used with positive airway pressure device |
30 |
25 |
$424.61 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$413.17 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
41 |
41 |
$370.17 |
| K0002 |
Standard hemi (low seat) wheelchair |
12 |
12 |
$360.46 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
17 |
12 |
$281.04 |