| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,547 |
4,034 |
$358K |
| A4520 |
Incontinence garment anytype |
2,170 |
2,056 |
$288K |
| E0431 |
Portable gaseous 02 |
3,074 |
2,736 |
$65K |
| E0570 |
Nebulizer with compression |
1,586 |
1,415 |
$42K |
| E0601 |
Cont airway pressure device |
520 |
468 |
$22K |
| E0114 |
Crutch underarm pair no wood |
374 |
337 |
$12K |
| K0001 |
Standard wheelchair |
370 |
321 |
$9K |
| L3908 |
Who cock-up nonmolde pre ots |
97 |
86 |
$4K |
| A7038 |
Pos airway pressure filter |
680 |
625 |
$3K |
| E0562 |
Humidifier heated used w pap |
52 |
50 |
$3K |
| A7005 |
Nondisposable nebulizer set |
87 |
84 |
$2K |
| A4554 |
Disposable underpads |
134 |
126 |
$2K |
| A4604 |
Tubing with heating element |
42 |
38 |
$1K |
| A5500 |
Diab shoe for density insert |
32 |
13 |
$729.68 |
| A5512 |
Multi den insert direct form |
34 |
13 |
$595.11 |
| A7035 |
Pos airway press headgear |
43 |
38 |
$587.75 |
| A7015 |
Aerosol mask used w nebulize |
31 |
31 |
$158.97 |