| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,590 |
4,205 |
$221K |
| E0601 |
Cont airway pressure device |
3,041 |
2,899 |
$91K |
| A7030 |
Cpap full face mask |
1,152 |
1,115 |
$76K |
| A4604 |
Tubing with heating element |
2,059 |
1,998 |
$62K |
| A7031 |
Replacement facemask interfa |
1,632 |
1,392 |
$39K |
| E0562 |
Humidifier heated used w pap |
3,072 |
2,907 |
$33K |
| K0738 |
Portable gas oxygen system |
1,264 |
1,176 |
$33K |
| A7034 |
Nasal application device |
756 |
729 |
$32K |
| B4035 |
Enteral feed supp pump per d |
307 |
257 |
$29K |
| A7035 |
Pos airway press headgear |
1,451 |
1,402 |
$21K |
| E1392 |
Portable oxygen concentrator |
1,011 |
892 |
$17K |
| E0431 |
Portable gaseous 02 |
1,433 |
1,345 |
$15K |
| A7032 |
Replacement nasal cushion |
544 |
456 |
$12K |
| A7046 |
Repl water chamber, pap dev |
861 |
843 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
132 |
126 |
$8K |
| A7038 |
Pos airway pressure filter |
3,359 |
2,712 |
$7K |
| E0603 |
Electric breast pump |
45 |
45 |
$7K |
| K0001 |
Standard wheelchair |
147 |
141 |
$2K |
| E0570 |
Nebulizer with compression |
119 |
108 |
$2K |
| A7033 |
Replacement nasal pillows |
109 |
92 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
63 |
60 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
55 |
53 |
$1K |
| B9998 |
Enteral supp not otherwise c |
465 |
196 |
$1K |
| A7526 |
Tracheostomy tube collar |
28 |
24 |
$1K |
| A7037 |
Pos airway pressure tubing |
36 |
32 |
$332.70 |
| A7039 |
Filter, non disposable w pap |
65 |
63 |
$310.29 |
| K0195 |
Elevating whlchair leg rests |
40 |
38 |
$284.89 |