| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
5,164 |
4,963 |
$595K |
| E1390 |
Oxygen concentrator |
4,562 |
4,246 |
$318K |
| E0601 |
Cont airway pressure device |
2,819 |
2,577 |
$128K |
| A4554 |
Disposable underpads |
3,244 |
3,099 |
$85K |
| E0570 |
Nebulizer with compression |
1,153 |
1,125 |
$49K |
| A7030 |
Cpap full face mask |
598 |
553 |
$45K |
| E0431 |
Portable gaseous 02 |
2,232 |
2,075 |
$32K |
| E0562 |
Humidifier heated used w pap |
795 |
754 |
$31K |
| A7035 |
Pos airway press headgear |
807 |
762 |
$18K |
| A7037 |
Pos airway pressure tubing |
818 |
762 |
$17K |
| K0001 |
Standard wheelchair |
595 |
561 |
$13K |
| A7038 |
Pos airway pressure filter |
1,267 |
1,184 |
$13K |
| A7039 |
Filter, non disposable w pap |
714 |
672 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
150 |
135 |
$3K |
| A4604 |
Tubing with heating element |
76 |
70 |
$3K |
| A7005 |
Nondisposable nebulizer set |
120 |
115 |
$2K |
| A7003 |
Nebulizer administration set |
67 |
67 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
26 |
24 |
$623.38 |