| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
490 |
428 |
$40K |
| E0601 |
Cont airway pressure device |
568 |
468 |
$32K |
| A7030 |
Cpap full face mask |
269 |
218 |
$30K |
| E0562 |
Humidifier heated used w pap |
301 |
260 |
$24K |
| A4604 |
Tubing with heating element |
364 |
290 |
$16K |
| A7034 |
Nasal application device |
168 |
138 |
$12K |
| A4520 |
Incontinence garment anytype |
90 |
83 |
$11K |
| E0603 |
Electric breast pump |
58 |
58 |
$10K |
| A7031 |
Replacement facemask interfa |
254 |
211 |
$10K |
| E0570 |
Nebulizer with compression |
119 |
115 |
$7K |
| A7035 |
Pos airway press headgear |
344 |
284 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
33 |
26 |
$7K |
| E0114 |
Crutch underarm pair no wood |
59 |
46 |
$3K |
| A7038 |
Pos airway pressure filter |
603 |
491 |
$3K |
| E1392 |
Portable oxygen concentrator |
79 |
74 |
$3K |
| E0431 |
Portable gaseous 02 |
207 |
176 |
$3K |
| A7046 |
Repl water chamber, pap dev |
179 |
152 |
$3K |
| A7032 |
Replacement nasal cushion |
81 |
67 |
$2K |
| A7005 |
Nondisposable nebulizer set |
60 |
56 |
$1K |
| A7003 |
Nebulizer administration set |
118 |
108 |
$470.81 |
| A7037 |
Pos airway pressure tubing |
33 |
31 |
$423.07 |
| A7033 |
Replacement nasal pillows |
14 |
13 |
$333.71 |
| A7013 |
Disposable compressor filter |
165 |
153 |
$254.57 |
| A7015 |
Aerosol mask used w nebulize |
29 |
29 |
$54.04 |