| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,333 |
8,274 |
$731K |
| E0601 |
Cont airway pressure device |
7,062 |
7,006 |
$367K |
| B4150 |
Ef complet w/intact nutrient |
1,462 |
1,413 |
$234K |
| E0570 |
Nebulizer with compression |
3,164 |
3,104 |
$124K |
| A7030 |
Cpap full face mask |
1,317 |
1,292 |
$90K |
| E0431 |
Portable gaseous 02 |
4,924 |
4,877 |
$79K |
| E0562 |
Humidifier heated used w pap |
1,875 |
1,868 |
$70K |
| A7035 |
Pos airway press headgear |
1,840 |
1,821 |
$33K |
| A7037 |
Pos airway pressure tubing |
1,276 |
1,263 |
$29K |
| A7034 |
Nasal application device |
540 |
539 |
$24K |
| K0001 |
Standard wheelchair |
935 |
914 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
359 |
335 |
$18K |
| A7005 |
Nondisposable nebulizer set |
1,111 |
1,103 |
$17K |
| B4152 |
Ef calorie dense>/=1.5kcal |
387 |
344 |
$14K |
| A7038 |
Pos airway pressure filter |
2,376 |
2,340 |
$13K |
| B4034 |
Enter feed supkit syr by day |
511 |
460 |
$8K |
| A7031 |
Replacement facemask interfa |
329 |
319 |
$7K |
| L3908 |
Who cock-up nonmolde pre ots |
134 |
119 |
$6K |
| A4253 |
Blood glucose/reagent strips |
554 |
518 |
$6K |
| A4604 |
Tubing with heating element |
440 |
433 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
52 |
51 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
369 |
368 |
$418.60 |
| B4035 |
Enteral feed supp pump per d |
13 |
12 |
$411.86 |
| A7046 |
Repl water chamber, pap dev |
53 |
53 |
$296.54 |
| A4259 |
Lancets per box |
184 |
178 |
$222.37 |
| B9002 |
Enter nutr inf pump any type |
15 |
13 |
$158.97 |
| E0156 |
Walker seat attachment |
13 |
13 |
$114.70 |