| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
2,049 |
1,931 |
$231K |
| E1390 |
Oxygen concentrator |
1,830 |
1,716 |
$53K |
| B4035 |
Enteral feed supp pump per d |
111 |
89 |
$31K |
| E0601 |
Cont airway pressure device |
302 |
278 |
$16K |
| E1392 |
Portable oxygen concentrator |
926 |
870 |
$9K |
| E0562 |
Humidifier heated used w pap |
349 |
316 |
$7K |
| A4604 |
Tubing with heating element |
97 |
90 |
$4K |
| E0570 |
Nebulizer with compression |
44 |
36 |
$2K |
| E0603 |
Electric breast pump |
15 |
14 |
$1K |
| A7030 |
Cpap full face mask |
12 |
12 |
$1K |
| A7035 |
Pos airway press headgear |
30 |
28 |
$515.67 |
| A7038 |
Pos airway pressure filter |
153 |
137 |
$457.46 |
| A7003 |
Nebulizer administration set |
14 |
13 |
$51.21 |