| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,240 |
2,349 |
$49K |
| A7030 |
Cpap full face mask |
897 |
666 |
$24K |
| E0603 |
Electric breast pump |
135 |
125 |
$22K |
| E0667 |
Seg pneumatic appl full leg |
215 |
144 |
$19K |
| E1390 |
Oxygen concentrator |
1,626 |
1,171 |
$18K |
| A7031 |
Replacement facemask interfa |
1,347 |
1,014 |
$16K |
| B4035 |
Enteral feed supp pump per d |
369 |
212 |
$14K |
| A4604 |
Tubing with heating element |
1,212 |
888 |
$13K |
| E0651 |
Pneum compressor segmental |
151 |
102 |
$10K |
| A4353 |
Intermittent urinary cath |
312 |
96 |
$9K |
| A7038 |
Pos airway pressure filter |
3,580 |
2,670 |
$6K |
| E0570 |
Nebulizer with compression |
688 |
571 |
$6K |
| A7035 |
Pos airway press headgear |
771 |
565 |
$4K |
| E0562 |
Humidifier heated used w pap |
337 |
266 |
$4K |
| K0001 |
Standard wheelchair |
943 |
641 |
$3K |
| A7034 |
Nasal application device |
176 |
118 |
$3K |
| A7032 |
Replacement nasal cushion |
238 |
160 |
$2K |
| A7046 |
Repl water chamber, pap dev |
160 |
125 |
$462.40 |
| E1392 |
Portable oxygen concentrator |
93 |
77 |
$302.47 |
| A7039 |
Filter, non disposable w pap |
118 |
70 |
$211.32 |
| A7037 |
Pos airway pressure tubing |
37 |
25 |
$180.88 |
| A7033 |
Replacement nasal pillows |
14 |
12 |
$121.79 |
| A7015 |
Aerosol mask used w nebulize |
17 |
13 |
$10.01 |