| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,797 |
4,714 |
$364K |
| E0601 |
Cont airway pressure device |
6,189 |
6,153 |
$276K |
| E0470 |
Rad w/o backup non-inv intfc |
644 |
625 |
$51K |
| E0431 |
Portable gaseous 02 |
2,747 |
2,735 |
$49K |
| A7030 |
Cpap full face mask |
1,015 |
990 |
$48K |
| E0562 |
Humidifier heated used w pap |
754 |
740 |
$48K |
| B4035 |
Enteral feed supp pump per d |
167 |
143 |
$27K |
| A7034 |
Nasal application device |
886 |
863 |
$27K |
| A7035 |
Pos airway press headgear |
1,728 |
1,691 |
$23K |
| A7031 |
Replacement facemask interfa |
963 |
936 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,183 |
1,168 |
$19K |
| B4087 |
Gastro/jejuno tube, std |
285 |
244 |
$15K |
| E0603 |
Electric breast pump |
107 |
106 |
$14K |
| E0570 |
Nebulizer with compression |
356 |
354 |
$11K |
| A7038 |
Pos airway pressure filter |
2,419 |
2,352 |
$9K |
| A7032 |
Replacement nasal cushion |
277 |
270 |
$8K |
| A7046 |
Repl water chamber, pap dev |
790 |
777 |
$4K |
| A4604 |
Tubing with heating element |
518 |
512 |
$2K |
| A7033 |
Replacement nasal pillows |
82 |
81 |
$2K |
| A4927 |
Non-sterile gloves |
61 |
61 |
$983.80 |
| K0738 |
Portable gas oxygen system |
143 |
143 |
$522.74 |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$504.66 |
| A6402 |
Sterile gauze <= 16 sq in |
68 |
54 |
$335.48 |
| A7005 |
Nondisposable nebulizer set |
24 |
24 |
$295.25 |
| A7000 |
Disposable canister for pump |
12 |
12 |
$71.00 |