| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,576 |
3,391 |
$156K |
| E0601 |
Cont airway pressure device |
2,591 |
2,445 |
$70K |
| A7030 |
Cpap full face mask |
936 |
907 |
$53K |
| A4604 |
Tubing with heating element |
978 |
956 |
$41K |
| K0738 |
Portable gas oxygen system |
1,849 |
1,767 |
$33K |
| E0562 |
Humidifier heated used w pap |
2,558 |
2,407 |
$32K |
| A7031 |
Replacement facemask interfa |
948 |
905 |
$22K |
| E0570 |
Nebulizer with compression |
1,110 |
1,066 |
$20K |
| A7038 |
Pos airway pressure filter |
2,894 |
2,797 |
$10K |
| A7032 |
Replacement nasal cushion |
340 |
321 |
$10K |
| A7035 |
Pos airway press headgear |
827 |
796 |
$10K |
| A4520 |
Incontinence garment anytype |
114 |
108 |
$8K |
| A7005 |
Nondisposable nebulizer set |
230 |
219 |
$5K |
| A7034 |
Nasal application device |
88 |
87 |
$4K |
| T4528 |
Adult size pull-on xl |
29 |
28 |
$4K |
| T4541 |
Large disposable underpad |
41 |
40 |
$3K |
| A7046 |
Repl water chamber, pap dev |
301 |
285 |
$3K |
| A7037 |
Pos airway pressure tubing |
159 |
155 |
$1K |
| A4927 |
Non-sterile gloves |
103 |
89 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
59 |
55 |
$17.92 |
| A7004 |
Disposable nebulizer sml vol |
12 |
12 |
$0.00 |