| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,512 |
7,402 |
$692K |
| E0601 |
Cont airway pressure device |
5,512 |
5,458 |
$315K |
| E0570 |
Nebulizer with compression |
2,526 |
2,505 |
$110K |
| E0470 |
Rad w/o backup non-inv intfc |
731 |
730 |
$91K |
| E0431 |
Portable gaseous 02 |
3,860 |
3,806 |
$78K |
| E0562 |
Humidifier heated used w pap |
1,116 |
1,109 |
$51K |
| A7030 |
Cpap full face mask |
725 |
712 |
$44K |
| A7035 |
Pos airway press headgear |
1,195 |
1,181 |
$23K |
| A7037 |
Pos airway pressure tubing |
844 |
833 |
$18K |
| A7034 |
Nasal application device |
374 |
373 |
$17K |
| A7031 |
Replacement facemask interfa |
441 |
428 |
$16K |
| A7005 |
Nondisposable nebulizer set |
731 |
722 |
$12K |
| A7038 |
Pos airway pressure filter |
1,806 |
1,756 |
$9K |
| K0738 |
Portable gas oxygen system |
558 |
549 |
$5K |
| A7046 |
Repl water chamber, pap dev |
468 |
463 |
$3K |
| E0603 |
Electric breast pump |
15 |
15 |
$2K |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$2K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
12 |
12 |
$1K |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$879.82 |
| A4604 |
Tubing with heating element |
118 |
118 |
$667.14 |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$650.23 |
| A7015 |
Aerosol mask used w nebulize |
376 |
372 |
$501.96 |
| A7003 |
Nebulizer administration set |
26 |
26 |
$40.69 |