| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
611 |
569 |
$31K |
| E0601 |
Cont airway pressure device |
669 |
531 |
$18K |
| T4535 |
Disposable liner/shield/pad |
209 |
194 |
$13K |
| T4541 |
Large disposable underpad |
240 |
226 |
$12K |
| A7030 |
Cpap full face mask |
204 |
175 |
$11K |
| E0570 |
Nebulizer with compression |
670 |
609 |
$10K |
| E0562 |
Humidifier heated used w pap |
851 |
630 |
$8K |
| A7034 |
Nasal application device |
229 |
205 |
$8K |
| K0738 |
Portable gas oxygen system |
383 |
333 |
$7K |
| A4604 |
Tubing with heating element |
265 |
233 |
$6K |
| A7035 |
Pos airway press headgear |
392 |
352 |
$5K |
| A7031 |
Replacement facemask interfa |
173 |
140 |
$4K |
| A4927 |
Non-sterile gloves |
370 |
281 |
$4K |
| A7037 |
Pos airway pressure tubing |
226 |
209 |
$3K |
| A4520 |
Incontinence garment anytype |
69 |
42 |
$3K |
| A7032 |
Replacement nasal cushion |
94 |
82 |
$2K |
| A7005 |
Nondisposable nebulizer set |
174 |
165 |
$2K |
| A7038 |
Pos airway pressure filter |
640 |
551 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
12 |
$450.63 |
| E0431 |
Portable gaseous 02 |
24 |
24 |
$349.67 |
| A7046 |
Repl water chamber, pap dev |
46 |
43 |
$330.44 |
| E0143 |
Walker folding wheeled w/o s |
39 |
28 |
$277.41 |
| E0261 |
Hosp bed semi-electr w/o mat |
13 |
13 |
$259.44 |