| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,340 |
8,793 |
$288K |
| E0601 |
Cont airway pressure device |
2,997 |
2,187 |
$75K |
| A4604 |
Tubing with heating element |
2,269 |
2,068 |
$59K |
| E0431 |
Portable gaseous 02 |
8,359 |
6,761 |
$53K |
| A7030 |
Cpap full face mask |
882 |
810 |
$47K |
| A7031 |
Replacement facemask interfa |
1,332 |
1,179 |
$26K |
| E0562 |
Humidifier heated used w pap |
3,500 |
2,556 |
$26K |
| A7034 |
Nasal application device |
912 |
829 |
$25K |
| A7035 |
Pos airway press headgear |
1,617 |
1,461 |
$18K |
| A7038 |
Pos airway pressure filter |
4,496 |
3,959 |
$8K |
| E0570 |
Nebulizer with compression |
1,004 |
778 |
$7K |
| A7032 |
Replacement nasal cushion |
402 |
368 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,021 |
912 |
$7K |
| K0001 |
Standard wheelchair |
167 |
134 |
$2K |
| B4035 |
Enteral feed supp pump per d |
190 |
149 |
$1K |
| A7033 |
Replacement nasal pillows |
69 |
64 |
$1K |
| A7037 |
Pos airway pressure tubing |
246 |
218 |
$1K |
| B4152 |
Ef calorie dense>/=1.5kcal |
25 |
25 |
$412.82 |
| E0443 |
Portable 02 contents, gas |
39 |
38 |
$274.63 |
| A7003 |
Nebulizer administration set |
37 |
27 |
$26.42 |