| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
2,237 |
2,179 |
$266K |
| E1390 |
Oxygen concentrator |
1,963 |
1,853 |
$129K |
| A4554 |
Disposable underpads |
1,525 |
1,469 |
$41K |
| E0431 |
Portable gaseous 02 |
975 |
931 |
$21K |
| E0570 |
Nebulizer with compression |
482 |
477 |
$17K |
| A7037 |
Pos airway pressure tubing |
270 |
256 |
$6K |
| A7038 |
Pos airway pressure filter |
387 |
359 |
$5K |
| E0601 |
Cont airway pressure device |
132 |
123 |
$4K |
| A7003 |
Nebulizer administration set |
73 |
73 |
$1K |
| K0001 |
Standard wheelchair |
80 |
77 |
$1K |
| A7035 |
Pos airway press headgear |
16 |
14 |
$288.28 |
| A7039 |
Filter, non disposable w pap |
24 |
24 |
$141.20 |