| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,582 |
4,535 |
$336K |
| E0603 |
Electric breast pump |
1,446 |
1,417 |
$218K |
| E0570 |
Nebulizer with compression |
2,230 |
2,214 |
$139K |
| E0601 |
Cont airway pressure device |
1,783 |
1,770 |
$81K |
| A7030 |
Cpap full face mask |
674 |
668 |
$44K |
| A4554 |
Disposable underpads |
1,220 |
1,198 |
$43K |
| K0001 |
Standard wheelchair |
1,648 |
1,632 |
$27K |
| T4527 |
Adult size pull-on lg |
144 |
142 |
$22K |
| E0431 |
Portable gaseous 02 |
1,195 |
1,184 |
$14K |
| A4335 |
Incontinence supply |
1,986 |
1,946 |
$11K |
| A7003 |
Nebulizer administration set |
1,797 |
1,774 |
$7K |
| A7038 |
Pos airway pressure filter |
1,670 |
1,654 |
$6K |
| A7035 |
Pos airway press headgear |
457 |
453 |
$5K |
| A7037 |
Pos airway pressure tubing |
240 |
237 |
$5K |
| E1392 |
Portable oxygen concentrator |
1,238 |
1,233 |
$4K |
| A4627 |
Spacer bag/reservoir |
115 |
114 |
$4K |
| L4361 |
Pneuma/vac walk boot pre ots |
26 |
26 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
118 |
116 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,706 |
1,684 |
$2K |
| L3809 |
Whfo w/o joints pre ots |
27 |
25 |
$2K |
| E0562 |
Humidifier heated used w pap |
26 |
26 |
$2K |
| T4535 |
Disposable liner/shield/pad |
39 |
39 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
30 |
28 |
$790.40 |
| A7013 |
Disposable compressor filter |
1,065 |
1,058 |
$622.06 |
| A4604 |
Tubing with heating element |
341 |
340 |
$608.54 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$322.50 |
| A7046 |
Repl water chamber, pap dev |
114 |
113 |
$287.41 |
| A4322 |
Irrigation syringe |
13 |
12 |
$135.36 |