| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
596 |
579 |
$46K |
| A4520 |
Incontinence garment anytype |
343 |
320 |
$31K |
| A7030 |
Cpap full face mask |
102 |
100 |
$22K |
| E1390 |
Oxygen concentrator |
168 |
161 |
$17K |
| E0562 |
Humidifier heated used w pap |
626 |
613 |
$10K |
| A7031 |
Replacement facemask interfa |
117 |
113 |
$6K |
| A4604 |
Tubing with heating element |
175 |
172 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
52 |
50 |
$3K |
| E0570 |
Nebulizer with compression |
25 |
25 |
$2K |
| A7034 |
Nasal application device |
12 |
12 |
$2K |
| A7038 |
Pos airway pressure filter |
539 |
514 |
$2K |
| E1392 |
Portable oxygen concentrator |
111 |
106 |
$1K |
| E0114 |
Crutch underarm pair no wood |
24 |
24 |
$860.25 |
| A7035 |
Pos airway press headgear |
179 |
176 |
$854.92 |
| E0118 |
Crutch substitute |
12 |
12 |
$496.34 |
| A4358 |
Urinary leg or abdomen bag |
28 |
24 |
$33.77 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$29.36 |