| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
6,415 |
5,943 |
$614K |
| E1390 |
Oxygen concentrator |
3,042 |
2,714 |
$180K |
| A4554 |
Disposable underpads |
3,514 |
3,245 |
$82K |
| E0601 |
Cont airway pressure device |
820 |
761 |
$33K |
| E0431 |
Portable gaseous 02 |
1,807 |
1,628 |
$25K |
| E0570 |
Nebulizer with compression |
955 |
838 |
$25K |
| K0001 |
Standard wheelchair |
244 |
193 |
$2K |
| A7038 |
Pos airway pressure filter |
323 |
289 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
65 |
63 |
$1K |
| A7003 |
Nebulizer administration set |
137 |
127 |
$823.96 |
| A7037 |
Pos airway pressure tubing |
46 |
43 |
$774.60 |
| A7035 |
Pos airway press headgear |
13 |
12 |
$227.54 |
| A7013 |
Disposable compressor filter |
54 |
50 |
$44.58 |