| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,871 |
2,595 |
$175K |
| A4520 |
Incontinence garment anytype |
1,300 |
1,192 |
$142K |
| E0431 |
Portable gaseous 02 |
1,992 |
1,827 |
$47K |
| E0601 |
Cont airway pressure device |
789 |
712 |
$39K |
| E0562 |
Humidifier heated used w pap |
790 |
726 |
$30K |
| E0570 |
Nebulizer with compression |
1,452 |
1,390 |
$28K |
| E0260 |
Hosp bed semi-electr w/ matt |
549 |
485 |
$16K |
| A4554 |
Disposable underpads |
511 |
491 |
$15K |
| K0001 |
Standard wheelchair |
602 |
548 |
$8K |
| A7037 |
Pos airway pressure tubing |
313 |
281 |
$6K |
| A7030 |
Cpap full face mask |
91 |
74 |
$6K |
| A7005 |
Nondisposable nebulizer set |
213 |
205 |
$6K |
| A7035 |
Pos airway press headgear |
157 |
140 |
$4K |
| A7039 |
Filter, non disposable w pap |
154 |
143 |
$3K |
| A7031 |
Replacement facemask interfa |
91 |
82 |
$3K |
| E0114 |
Crutch underarm pair no wood |
24 |
24 |
$828.75 |
| L3908 |
Who cock-up nonmolde pre ots |
12 |
12 |
$593.08 |