| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
797 |
722 |
$42K |
| E1390 |
Oxygen concentrator |
446 |
427 |
$35K |
| E0601 |
Cont airway pressure device |
348 |
319 |
$18K |
| A7005 |
Nondisposable nebulizer set |
385 |
336 |
$8K |
| T4543 |
Adult disp brief/diap abv xl |
43 |
43 |
$8K |
| E0431 |
Portable gaseous 02 |
406 |
374 |
$6K |
| E0562 |
Humidifier heated used w pap |
252 |
223 |
$6K |
| E0114 |
Crutch underarm pair no wood |
124 |
99 |
$4K |
| A4604 |
Tubing with heating element |
111 |
95 |
$4K |
| A7030 |
Cpap full face mask |
28 |
28 |
$3K |
| T4541 |
Large disposable underpad |
24 |
24 |
$2K |
| A7035 |
Pos airway press headgear |
61 |
52 |
$1K |
| A7038 |
Pos airway pressure filter |
227 |
210 |
$1K |
| A7034 |
Nasal application device |
15 |
12 |
$1K |
| A7046 |
Repl water chamber, pap dev |
41 |
41 |
$467.15 |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$344.58 |
| K0195 |
Elevating whlchair leg rests |
53 |
53 |
$77.56 |
| A7015 |
Aerosol mask used w nebulize |
58 |
47 |
$70.54 |