| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,335 |
6,749 |
$316K |
| E0601 |
Cont airway pressure device |
3,292 |
3,019 |
$133K |
| E0570 |
Nebulizer with compression |
4,482 |
4,002 |
$78K |
| E0250 |
Hosp bed fixed ht w/ mattres |
2,361 |
2,188 |
$41K |
| E0431 |
Portable gaseous 02 |
4,271 |
3,897 |
$40K |
| A7030 |
Cpap full face mask |
960 |
835 |
$38K |
| E0562 |
Humidifier heated used w pap |
3,129 |
2,857 |
$35K |
| A4253 |
Blood glucose/reagent strips |
2,555 |
2,184 |
$35K |
| K0001 |
Standard wheelchair |
3,099 |
2,828 |
$30K |
| A7034 |
Nasal application device |
824 |
680 |
$27K |
| A7037 |
Pos airway pressure tubing |
2,307 |
2,043 |
$25K |
| A7038 |
Pos airway pressure filter |
3,692 |
3,062 |
$16K |
| A7035 |
Pos airway press headgear |
1,851 |
1,614 |
$16K |
| A7031 |
Replacement facemask interfa |
541 |
446 |
$14K |
| A7039 |
Filter, non disposable w pap |
922 |
818 |
$7K |
| A7032 |
Replacement nasal cushion |
225 |
159 |
$5K |
| E0443 |
Portable 02 contents, gas |
135 |
128 |
$5K |
| A4259 |
Lancets per box |
2,351 |
2,007 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
146 |
132 |
$4K |
| E1392 |
Portable oxygen concentrator |
339 |
338 |
$4K |
| A7003 |
Nebulizer administration set |
1,796 |
1,481 |
$4K |
| T4522 |
Adult size brief/diaper med |
94 |
38 |
$4K |
| A4604 |
Tubing with heating element |
282 |
262 |
$3K |
| E0630 |
Patient lift hydraulic |
92 |
77 |
$2K |
| A7046 |
Repl water chamber, pap dev |
202 |
182 |
$1K |
| E0156 |
Walker seat attachment |
38 |
37 |
$228.07 |
| A4258 |
Lancet device each |
30 |
30 |
$108.50 |
| A4256 |
Calibrator solution/chips |
26 |
26 |
$56.56 |