| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,837 |
4,004 |
$1.21M |
| E0470 |
Rad w/o backup non-inv intfc |
740 |
578 |
$420K |
| E1390 |
Oxygen concentrator |
3,274 |
3,119 |
$269K |
| E0562 |
Humidifier heated used w pap |
1,645 |
1,552 |
$195K |
| A7030 |
Cpap full face mask |
2,559 |
2,476 |
$151K |
| A4604 |
Tubing with heating element |
4,299 |
4,086 |
$112K |
| A7031 |
Replacement facemask interfa |
3,761 |
3,642 |
$93K |
| A7034 |
Nasal application device |
1,903 |
1,768 |
$68K |
| A7035 |
Pos airway press headgear |
3,047 |
2,894 |
$37K |
| A7032 |
Replacement nasal cushion |
1,383 |
1,274 |
$31K |
| A7033 |
Replacement nasal pillows |
1,273 |
1,160 |
$24K |
| E0570 |
Nebulizer with compression |
1,856 |
1,453 |
$23K |
| K0738 |
Portable gas oxygen system |
775 |
738 |
$20K |
| A7038 |
Pos airway pressure filter |
6,260 |
5,928 |
$17K |
| E1392 |
Portable oxygen concentrator |
789 |
737 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,504 |
1,443 |
$13K |
| E0260 |
Hosp bed semi-electr w/ matt |
875 |
689 |
$9K |
| K0001 |
Standard wheelchair |
865 |
734 |
$6K |
| K0108 |
W/c component-accessory nos |
36 |
24 |
$5K |
| E0630 |
Patient lift hydraulic |
319 |
254 |
$4K |
| K0739 |
Repair/svc dme non-oxygen eq |
163 |
124 |
$4K |
| A7005 |
Nondisposable nebulizer set |
33 |
29 |
$192.76 |
| E0181 |
Press pad alternating w/ pum |
46 |
37 |
$185.66 |