| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
1,793 |
1,670 |
$188K |
| E1390 |
Oxygen concentrator |
3,023 |
2,886 |
$134K |
| E0601 |
Cont airway pressure device |
1,453 |
1,273 |
$123K |
| A7030 |
Cpap full face mask |
391 |
374 |
$54K |
| A7031 |
Replacement facemask interfa |
986 |
919 |
$33K |
| A4604 |
Tubing with heating element |
1,170 |
1,095 |
$31K |
| E1392 |
Portable oxygen concentrator |
1,668 |
1,588 |
$20K |
| L4387 |
Non-pneum walk boot pre ots |
113 |
110 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,405 |
1,249 |
$18K |
| L3908 |
Who cock-up nonmolde pre ots |
279 |
260 |
$16K |
| A7035 |
Pos airway press headgear |
727 |
690 |
$7K |
| E0114 |
Crutch underarm pair no wood |
188 |
187 |
$6K |
| A7038 |
Pos airway pressure filter |
2,095 |
1,968 |
$6K |
| A7034 |
Nasal application device |
19 |
15 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
30 |
30 |
$1K |
| A7032 |
Replacement nasal cushion |
25 |
25 |
$954.77 |
| A7003 |
Nebulizer administration set |
177 |
156 |
$745.71 |
| E0118 |
Crutch substitute |
12 |
12 |
$488.30 |
| L3260 |
Ambulatory surgical boot eac |
26 |
26 |
$400.48 |
| A7046 |
Repl water chamber, pap dev |
91 |
86 |
$330.67 |
| A4565 |
Slings |
25 |
25 |
$213.00 |