| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,525 |
3,862 |
$287K |
| E0601 |
Cont airway pressure device |
2,619 |
2,265 |
$101K |
| A4520 |
Incontinence garment anytype |
787 |
629 |
$65K |
| A7030 |
Cpap full face mask |
647 |
575 |
$48K |
| E0570 |
Nebulizer with compression |
1,582 |
1,388 |
$37K |
| A7037 |
Pos airway pressure tubing |
1,597 |
1,397 |
$32K |
| A7035 |
Pos airway press headgear |
1,295 |
1,139 |
$28K |
| E0431 |
Portable gaseous 02 |
976 |
792 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
591 |
496 |
$14K |
| A7034 |
Nasal application device |
305 |
262 |
$13K |
| A7039 |
Filter, non disposable w pap |
723 |
623 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
76 |
71 |
$8K |
| K0738 |
Portable gas oxygen system |
808 |
626 |
$7K |
| K0001 |
Standard wheelchair |
554 |
490 |
$7K |
| E0562 |
Humidifier heated used w pap |
85 |
79 |
$7K |
| A4351 |
Straight tip urine catheter |
83 |
65 |
$6K |
| A4554 |
Disposable underpads |
217 |
184 |
$4K |
| A7005 |
Nondisposable nebulizer set |
163 |
134 |
$3K |
| A7046 |
Repl water chamber, pap dev |
243 |
207 |
$3K |
| A7013 |
Disposable compressor filter |
133 |
108 |
$706.16 |
| A7038 |
Pos airway pressure filter |
192 |
184 |
$704.14 |