| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4150 |
Ef complet w/intact nutrient |
5,810 |
5,657 |
$487K |
| E1390 |
Oxygen concentrator |
5,630 |
5,611 |
$349K |
| E0601 |
Cont airway pressure device |
1,827 |
1,818 |
$72K |
| E0431 |
Portable gaseous 02 |
2,405 |
2,399 |
$45K |
| E0570 |
Nebulizer with compression |
1,930 |
1,918 |
$37K |
| A4595 |
Tens suppl 2 lead per month |
1,280 |
1,257 |
$31K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,143 |
1,135 |
$31K |
| A7030 |
Cpap full face mask |
596 |
589 |
$24K |
| K0003 |
Lightweight wheelchair |
1,196 |
1,181 |
$23K |
| E0562 |
Humidifier heated used w pap |
1,684 |
1,672 |
$22K |
| A4253 |
Blood glucose/reagent strips |
577 |
565 |
$20K |
| A7005 |
Nondisposable nebulizer set |
1,527 |
1,514 |
$16K |
| A7037 |
Pos airway pressure tubing |
1,096 |
1,083 |
$11K |
| A7035 |
Pos airway press headgear |
812 |
802 |
$10K |
| K0738 |
Portable gas oxygen system |
1,176 |
1,172 |
$10K |
| A7038 |
Pos airway pressure filter |
1,220 |
1,202 |
$4K |
| E0730 |
Tens four lead |
109 |
107 |
$3K |
| B4035 |
Enteral feed supp pump per d |
72 |
65 |
$3K |
| A7034 |
Nasal application device |
106 |
106 |
$3K |
| A7031 |
Replacement facemask interfa |
146 |
142 |
$2K |
| S5199 |
Personal care item nos each |
227 |
227 |
$2K |
| A4259 |
Lancets per box |
355 |
349 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,531 |
1,515 |
$1K |