| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,011 |
2,977 |
$261K |
| E0601 |
Cont airway pressure device |
2,113 |
2,095 |
$104K |
| E0570 |
Nebulizer with compression |
953 |
951 |
$34K |
| E0562 |
Humidifier heated used w pap |
2,394 |
2,375 |
$27K |
| E0431 |
Portable gaseous 02 |
979 |
947 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
131 |
131 |
$19K |
| K0003 |
Lightweight wheelchair |
370 |
366 |
$11K |
| A7038 |
Pos airway pressure filter |
860 |
798 |
$5K |
| A7035 |
Pos airway press headgear |
247 |
246 |
$5K |
| A7037 |
Pos airway pressure tubing |
215 |
215 |
$4K |
| A6530 |
Compression stocking bk18-30 |
63 |
54 |
$3K |
| A7030 |
Cpap full face mask |
29 |
28 |
$2K |
| A7005 |
Nondisposable nebulizer set |
84 |
84 |
$2K |
| A4253 |
Blood glucose/reagent strips |
91 |
82 |
$1K |
| A4259 |
Lancets per box |
14 |
13 |
$85.89 |
| E0184 |
Dry pressure mattress |
12 |
12 |
$73.05 |
| A7015 |
Aerosol mask used w nebulize |
15 |
15 |
$22.05 |