| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,113 |
1,940 |
$59K |
| E0601 |
Cont airway pressure device |
1,653 |
1,480 |
$35K |
| A7030 |
Cpap full face mask |
712 |
630 |
$31K |
| A4253 |
Blood glucose/reagent strips |
1,603 |
1,428 |
$29K |
| E0570 |
Nebulizer with compression |
2,669 |
2,426 |
$26K |
| E0431 |
Portable gaseous 02 |
1,485 |
1,377 |
$12K |
| E0255 |
Hospital bed var ht w/ mattr |
517 |
479 |
$10K |
| A7038 |
Pos airway pressure filter |
1,459 |
1,262 |
$9K |
| K0001 |
Standard wheelchair |
1,006 |
892 |
$7K |
| A7031 |
Replacement facemask interfa |
595 |
527 |
$7K |
| A4604 |
Tubing with heating element |
703 |
614 |
$6K |
| A7035 |
Pos airway press headgear |
659 |
581 |
$4K |
| A4259 |
Lancets per box |
1,448 |
1,299 |
$4K |
| A7034 |
Nasal application device |
179 |
157 |
$3K |
| A7046 |
Repl water chamber, pap dev |
355 |
312 |
$2K |
| A7037 |
Pos airway pressure tubing |
80 |
76 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
62 |
54 |
$561.47 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$227.60 |
| E0630 |
Patient lift hydraulic |
24 |
24 |
$223.66 |