| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,793 |
19,664 |
$1.11M |
| A7030 |
Cpap full face mask |
3,689 |
3,673 |
$179K |
| A7031 |
Replacement facemask interfa |
6,316 |
6,273 |
$179K |
| E0431 |
Portable gaseous 02 |
11,071 |
11,025 |
$126K |
| E0570 |
Nebulizer with compression |
5,175 |
5,168 |
$100K |
| A7032 |
Replacement nasal cushion |
2,272 |
2,259 |
$76K |
| E1392 |
Portable oxygen concentrator |
3,038 |
3,019 |
$64K |
| E0601 |
Cont airway pressure device |
2,244 |
2,239 |
$64K |
| A7034 |
Nasal application device |
2,293 |
2,282 |
$62K |
| B4035 |
Enteral feed supp pump per d |
480 |
468 |
$52K |
| E0470 |
Rad w/o backup non-inv intfc |
840 |
838 |
$42K |
| A7037 |
Pos airway pressure tubing |
5,520 |
5,496 |
$39K |
| A7033 |
Replacement nasal pillows |
1,339 |
1,331 |
$33K |
| A7035 |
Pos airway press headgear |
3,438 |
3,420 |
$31K |
| A7038 |
Pos airway pressure filter |
10,717 |
10,635 |
$24K |
| E0443 |
Portable 02 contents, gas |
1,242 |
1,238 |
$21K |
| E0562 |
Humidifier heated used w pap |
2,772 |
2,764 |
$20K |
| A7046 |
Repl water chamber, pap dev |
2,642 |
2,630 |
$12K |
| B4152 |
Ef calorie dense>/=1.5kcal |
104 |
102 |
$11K |
| A4604 |
Tubing with heating element |
327 |
326 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,255 |
1,252 |
$2K |
| A7005 |
Nondisposable nebulizer set |
294 |
294 |
$2K |
| K0001 |
Standard wheelchair |
62 |
62 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
30 |
30 |
$1K |
| A7003 |
Nebulizer administration set |
475 |
466 |
$660.93 |
| E0600 |
Suction pump portab hom modl |
12 |
12 |
$54.26 |
| A7013 |
Disposable compressor filter |
96 |
95 |
$15.93 |