| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,969 |
4,944 |
$373K |
| E0601 |
Cont airway pressure device |
3,742 |
3,736 |
$218K |
| E0603 |
Electric breast pump |
958 |
958 |
$125K |
| E0570 |
Nebulizer with compression |
1,362 |
1,358 |
$55K |
| A7030 |
Cpap full face mask |
773 |
765 |
$55K |
| E0431 |
Portable gaseous 02 |
3,094 |
3,066 |
$50K |
| E0562 |
Humidifier heated used w pap |
3,763 |
3,756 |
$43K |
| K0001 |
Standard wheelchair |
1,053 |
1,048 |
$30K |
| A7035 |
Pos airway press headgear |
1,145 |
1,136 |
$23K |
| A7031 |
Replacement facemask interfa |
472 |
467 |
$17K |
| A7038 |
Pos airway pressure filter |
1,858 |
1,839 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
79 |
79 |
$11K |
| A7037 |
Pos airway pressure tubing |
240 |
238 |
$7K |
| A7034 |
Nasal application device |
161 |
161 |
$6K |
| A4604 |
Tubing with heating element |
525 |
521 |
$3K |
| E0561 |
Humidifier nonheated w pap |
289 |
289 |
$3K |
| A7046 |
Repl water chamber, pap dev |
441 |
438 |
$2K |
| A7005 |
Nondisposable nebulizer set |
80 |
80 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
49 |
49 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
17 |
17 |
$1K |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$383.29 |
| A6402 |
Sterile gauze <= 16 sq in |
39 |
30 |
$204.46 |
| A7003 |
Nebulizer administration set |
78 |
78 |
$61.72 |
| A7015 |
Aerosol mask used w nebulize |
26 |
26 |
$37.10 |