| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,064 |
2,533 |
$191K |
| E0603 |
Electric breast pump |
340 |
337 |
$84K |
| E0570 |
Nebulizer with compression |
801 |
721 |
$61K |
| E0470 |
Rad w/o backup non-inv intfc |
384 |
321 |
$46K |
| A7030 |
Cpap full face mask |
389 |
351 |
$40K |
| E0562 |
Humidifier heated used w pap |
173 |
166 |
$36K |
| E1390 |
Oxygen concentrator |
321 |
274 |
$35K |
| A7038 |
Pos airway pressure filter |
957 |
867 |
$16K |
| A7035 |
Pos airway press headgear |
659 |
605 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
110 |
107 |
$8K |
| A7005 |
Nondisposable nebulizer set |
157 |
150 |
$4K |
| E0431 |
Portable gaseous 02 |
243 |
233 |
$3K |
| K0738 |
Portable gas oxygen system |
90 |
84 |
$3K |
| A7031 |
Replacement facemask interfa |
26 |
25 |
$1K |
| A7037 |
Pos airway pressure tubing |
210 |
203 |
$852.25 |
| A4627 |
Spacer bag/reservoir |
33 |
30 |
$851.26 |
| A7034 |
Nasal application device |
14 |
13 |
$663.93 |
| A7015 |
Aerosol mask used w nebulize |
96 |
93 |
$156.64 |
| A4604 |
Tubing with heating element |
87 |
77 |
$139.24 |