| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,119 |
8,118 |
$772K |
| T4534 |
Youth size pull-on |
1,247 |
1,106 |
$124K |
| E0570 |
Nebulizer with compression |
1,553 |
1,393 |
$92K |
| E0431 |
Portable gaseous 02 |
4,088 |
3,677 |
$75K |
| T4522 |
Adult size brief/diaper med |
355 |
305 |
$38K |
| E0601 |
Cont airway pressure device |
348 |
305 |
$17K |
| A7005 |
Nondisposable nebulizer set |
442 |
413 |
$10K |
| K0738 |
Portable gas oxygen system |
499 |
461 |
$9K |
| B4035 |
Enteral feed supp pump per d |
45 |
38 |
$7K |
| E0562 |
Humidifier heated used w pap |
218 |
196 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
74 |
61 |
$4K |
| K0001 |
Standard wheelchair |
184 |
158 |
$3K |
| E1392 |
Portable oxygen concentrator |
1,135 |
925 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
98 |
88 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
41 |
37 |
$2K |
| A4554 |
Disposable underpads |
86 |
85 |
$2K |
| T4535 |
Disposable liner/shield/pad |
57 |
53 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
18 |
12 |
$1K |
| A4520 |
Incontinence garment anytype |
35 |
27 |
$740.38 |
| A7038 |
Pos airway pressure filter |
116 |
99 |
$621.71 |
| A7035 |
Pos airway press headgear |
14 |
13 |
$271.65 |
| A7037 |
Pos airway pressure tubing |
69 |
60 |
$198.99 |
| A4927 |
Non-sterile gloves |
12 |
12 |
$117.52 |