| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,049 |
2,042 |
$95K |
| T4535 |
Disposable liner/shield/pad |
1,177 |
1,167 |
$54K |
| T4527 |
Adult size pull-on lg |
463 |
462 |
$47K |
| E0570 |
Nebulizer with compression |
706 |
705 |
$39K |
| T4541 |
Large disposable underpad |
505 |
505 |
$19K |
| E0601 |
Cont airway pressure device |
375 |
373 |
$16K |
| E0431 |
Portable gaseous 02 |
1,462 |
1,454 |
$12K |
| A7005 |
Nondisposable nebulizer set |
231 |
231 |
$5K |
| E0562 |
Humidifier heated used w pap |
156 |
156 |
$3K |
| E0114 |
Crutch underarm pair no wood |
13 |
13 |
$621.37 |
| A7013 |
Disposable compressor filter |
106 |
106 |
$133.61 |
| A4604 |
Tubing with heating element |
24 |
24 |
$127.03 |
| A7038 |
Pos airway pressure filter |
39 |
39 |
$106.78 |