| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
18,165 |
17,726 |
$2.17M |
| E1390 |
Oxygen concentrator |
3,222 |
3,080 |
$306K |
| A4554 |
Disposable underpads |
9,280 |
9,070 |
$213K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,269 |
1,209 |
$45K |
| E0431 |
Portable gaseous 02 |
1,587 |
1,520 |
$34K |
| E0570 |
Nebulizer with compression |
1,299 |
1,237 |
$28K |
| K0001 |
Standard wheelchair |
860 |
829 |
$19K |
| E0601 |
Cont airway pressure device |
409 |
384 |
$18K |
| T4535 |
Disposable liner/shield/pad |
180 |
178 |
$4K |
| A7013 |
Disposable compressor filter |
183 |
181 |
$2K |
| A7035 |
Pos airway press headgear |
58 |
57 |
$1K |
| E0245 |
Tub stool or bench |
13 |
13 |
$1K |
| K0007 |
Extra heavy duty wheelchair |
24 |
24 |
$938.46 |
| A7039 |
Filter, non disposable w pap |
50 |
45 |
$773.43 |
| A7038 |
Pos airway pressure filter |
167 |
162 |
$621.59 |
| E0143 |
Walker folding wheeled w/o s |
15 |
15 |
$460.01 |
| A7037 |
Pos airway pressure tubing |
30 |
25 |
$424.61 |
| A7034 |
Nasal application device |
12 |
12 |
$413.17 |
| A7005 |
Nondisposable nebulizer set |
41 |
41 |
$370.17 |
| K0002 |
Stnd hemi (low seat) whlchr |
12 |
12 |
$360.46 |
| A7046 |
Repl water chamber, pap dev |
17 |
12 |
$281.04 |