| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,431 |
3,065 |
$280K |
| E0601 |
Cont airway pressure device |
4,161 |
3,860 |
$198K |
| A4554 |
Disposable underpads |
1,218 |
1,111 |
$68K |
| A4928 |
Surgical mask |
1,048 |
1,022 |
$62K |
| A7030 |
Cpap full face mask |
465 |
441 |
$56K |
| E0570 |
Nebulizer with compression |
1,684 |
1,552 |
$53K |
| A7035 |
Pos airway press headgear |
1,796 |
1,696 |
$42K |
| A7034 |
Nasal application device |
521 |
487 |
$39K |
| E0431 |
Portable gaseous 02 |
2,771 |
2,478 |
$39K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,470 |
1,397 |
$32K |
| A7037 |
Pos airway pressure tubing |
930 |
875 |
$29K |
| K0001 |
Standard wheelchair |
1,826 |
1,722 |
$26K |
| E0562 |
Humidifier heated used w pap |
102 |
98 |
$19K |
| A4670 |
Automatic bp monitor, dial |
311 |
304 |
$19K |
| A7038 |
Pos airway pressure filter |
3,223 |
3,007 |
$17K |
| A4604 |
Tubing with heating element |
430 |
421 |
$10K |
| A7031 |
Replacement facemask interfa |
272 |
247 |
$9K |
| A7039 |
Filter, non disposable w pap |
602 |
581 |
$5K |
| E0244 |
Toilet seat raised |
50 |
49 |
$4K |
| E0240 |
Bath/shower chair |
41 |
40 |
$3K |
| A7046 |
Repl water chamber, pap dev |
200 |
185 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
215 |
206 |
$2K |
| A4253 |
Blood glucose/reagent strips |
820 |
719 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$483.56 |
| J7620 |
Albuterol ipratrop non-comp |
200 |
181 |
$444.82 |
| A7003 |
Nebulizer administration set |
78 |
70 |
$216.04 |
| A4259 |
Lancets per box |
97 |
91 |
$8.72 |