| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,579 |
2,426 |
$176K |
| E0601 |
Cont airway pressure device |
1,608 |
1,476 |
$46K |
| A4335 |
Incontinence supply |
967 |
921 |
$30K |
| E1392 |
Portable oxygen concentrator |
953 |
925 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,539 |
1,408 |
$16K |
| A4604 |
Tubing with heating element |
413 |
386 |
$10K |
| T4541 |
Large disposable underpad |
172 |
154 |
$6K |
| A7038 |
Pos airway pressure filter |
909 |
818 |
$5K |
| A7031 |
Replacement facemask interfa |
88 |
83 |
$4K |
| A7035 |
Pos airway press headgear |
193 |
179 |
$3K |
| T4526 |
Adult size pull-on med |
12 |
12 |
$2K |
| T4527 |
Adult size pull-on lg |
15 |
12 |
$1K |
| A7030 |
Cpap full face mask |
12 |
12 |
$718.30 |
| T4535 |
Disposable liner/shield/pad |
14 |
13 |
$688.38 |
| E0570 |
Nebulizer with compression |
12 |
12 |
$221.10 |
| A7046 |
Repl water chamber, pap dev |
16 |
14 |
$85.45 |