| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
1,083 |
903 |
$92K |
| E1390 |
Oxygen concentrator |
599 |
498 |
$31K |
| A6549 |
Grad com garm noc day use |
76 |
40 |
$11K |
| E0601 |
Cont airway pressure device |
297 |
268 |
$7K |
| A4351 |
Straight tip urine catheter |
163 |
138 |
$7K |
| A4554 |
Disposable underpads |
268 |
233 |
$7K |
| A7037 |
Pos airway pressure tubing |
132 |
127 |
$4K |
| E0570 |
Nebulizer with compression |
245 |
219 |
$3K |
| A7035 |
Pos airway press headgear |
95 |
88 |
$3K |
| E0562 |
Humidifier heated used w pap |
74 |
72 |
$3K |
| A7039 |
Filter, non disposable w pap |
68 |
65 |
$2K |
| A7030 |
Cpap full face mask |
40 |
37 |
$2K |
| K0738 |
Portable gas oxygen system |
27 |
25 |
$1K |
| A7034 |
Nasal application device |
29 |
27 |
$881.24 |
| E0431 |
Portable gaseous 02 |
37 |
37 |
$566.75 |
| A7046 |
Repl water chamber, pap dev |
15 |
15 |
$513.08 |