| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,291 |
2,705 |
$267K |
| A4520 |
Incontinence garment anytype |
1,422 |
1,290 |
$153K |
| E0601 |
Cont airway pressure device |
1,313 |
1,149 |
$68K |
| E1392 |
Portable oxygen concentrator |
1,344 |
1,192 |
$34K |
| E0431 |
Portable gaseous 02 |
715 |
569 |
$33K |
| E0570 |
Nebulizer with compression |
1,096 |
1,001 |
$24K |
| E0562 |
Humidifier heated used w pap |
197 |
177 |
$22K |
| A7030 |
Cpap full face mask |
233 |
219 |
$20K |
| A7035 |
Pos airway press headgear |
379 |
361 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
699 |
612 |
$18K |
| A4604 |
Tubing with heating element |
249 |
235 |
$13K |
| A7038 |
Pos airway pressure filter |
543 |
498 |
$12K |
| A4554 |
Disposable underpads |
418 |
379 |
$11K |
| K0001 |
Standard wheelchair |
626 |
565 |
$11K |
| A7034 |
Nasal application device |
123 |
113 |
$9K |
| K0823 |
Pwc gp 2 std cap chair |
60 |
54 |
$7K |
| A7037 |
Pos airway pressure tubing |
175 |
158 |
$6K |
| A7005 |
Nondisposable nebulizer set |
111 |
107 |
$3K |
| K0195 |
Elevating whlchair leg rests |
37 |
37 |
$3K |
| A7046 |
Repl water chamber, pap dev |
47 |
40 |
$878.79 |
| E0973 |
W/ch access det adj armrest |
19 |
12 |
$337.78 |
| K0739 |
Repair/svc dme non-oxygen eq |
12 |
12 |
$277.35 |