| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
551 |
548 |
$83K |
| E1390 |
Oxygen concentrator |
362 |
345 |
$10K |
| E0601 |
Cont airway pressure device |
71 |
66 |
$5K |
| E1392 |
Portable oxygen concentrator |
289 |
273 |
$3K |
| A7030 |
Cpap full face mask |
27 |
27 |
$2K |
| E0562 |
Humidifier heated used w pap |
60 |
56 |
$1K |
| A7031 |
Replacement facemask interfa |
43 |
43 |
$1K |
| A7038 |
Pos airway pressure filter |
304 |
298 |
$983.08 |
| E0570 |
Nebulizer with compression |
37 |
37 |
$719.45 |
| A7035 |
Pos airway press headgear |
48 |
48 |
$553.53 |
| A7037 |
Pos airway pressure tubing |
24 |
24 |
$175.56 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$55.93 |