| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0445 |
Oximeter non-invasive |
5,374 |
4,837 |
$902K |
| E1390 |
Oxygen concentrator |
4,920 |
3,789 |
$537K |
| E0570 |
Nebulizer with compression |
3,904 |
2,940 |
$300K |
| E0202 |
Phototherapy light w/ photom |
1,270 |
857 |
$297K |
| A4627 |
Spacer bag/reservoir |
2,563 |
2,102 |
$88K |
| A7005 |
Nondisposable nebulizer set |
3,425 |
2,822 |
$74K |
| E0601 |
Cont airway pressure device |
1,052 |
784 |
$60K |
| E0431 |
Portable gaseous 02 |
3,020 |
2,315 |
$52K |
| K0001 |
Standard wheelchair |
1,344 |
865 |
$26K |
| A4253 |
Blood glucose/reagent strips |
214 |
135 |
$9K |
| A4554 |
Disposable underpads |
227 |
216 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
132 |
86 |
$7K |
| A7015 |
Aerosol mask used w nebulize |
3,150 |
2,645 |
$5K |
| A7013 |
Disposable compressor filter |
3,384 |
2,790 |
$3K |
| A7037 |
Pos airway pressure tubing |
33 |
27 |
$942.46 |
| A4259 |
Lancets per box |
142 |
90 |
$879.79 |
| A7035 |
Pos airway press headgear |
32 |
27 |
$835.71 |
| E0562 |
Humidifier heated used w pap |
39 |
25 |
$683.62 |
| A7038 |
Pos airway pressure filter |
15 |
12 |
$57.07 |