| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
21,198 |
19,153 |
$397K |
| A7030 |
Cpap full face mask |
7,430 |
6,727 |
$267K |
| A7031 |
Replacement facemask interfa |
9,650 |
8,858 |
$199K |
| A7034 |
Nasal application device |
8,070 |
7,419 |
$176K |
| T4541 |
Large disposable underpad |
3,875 |
3,506 |
$167K |
| T4528 |
Adult size pull-on xl |
1,290 |
1,178 |
$163K |
| E0562 |
Humidifier heated used w pap |
4,828 |
4,471 |
$159K |
| A7032 |
Replacement nasal cushion |
7,038 |
6,503 |
$152K |
| E1390 |
Oxygen concentrator |
5,452 |
4,733 |
$136K |
| T4527 |
Adult size pull-on lg |
884 |
824 |
$121K |
| A4604 |
Tubing with heating element |
8,222 |
7,466 |
$116K |
| T4535 |
Disposable liner/shield/pad |
1,762 |
1,607 |
$97K |
| A7035 |
Pos airway press headgear |
9,312 |
8,547 |
$95K |
| A4927 |
Non-sterile gloves |
4,143 |
3,665 |
$87K |
| A7038 |
Pos airway pressure filter |
21,120 |
19,088 |
$81K |
| E0470 |
Rad w/o backup non-inv intfc |
2,256 |
1,991 |
$65K |
| A7033 |
Replacement nasal pillows |
3,253 |
3,007 |
$56K |
| T4526 |
Adult size pull-on med |
389 |
354 |
$51K |
| A7046 |
Repl water chamber, pap dev |
2,964 |
2,711 |
$44K |
| E0431 |
Portable gaseous 02 |
2,695 |
2,420 |
$39K |
| B4035 |
Enteral feed supp pump per d |
1,626 |
1,107 |
$32K |
| A7039 |
Filter, non disposable w pap |
5,120 |
4,717 |
$24K |
| E0466 |
Home vent non-invasive inter |
48 |
48 |
$22K |
| A7037 |
Pos airway pressure tubing |
3,755 |
3,415 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,467 |
1,319 |
$21K |
| A7036 |
Pos airway press chinstrap |
795 |
741 |
$10K |
| E0471 |
Rad w/backup non inv intrfc |
85 |
79 |
$8K |
| E0570 |
Nebulizer with compression |
1,275 |
1,169 |
$7K |
| T4537 |
Reusable underpad bed size |
316 |
281 |
$6K |
| A9279 |
Monitoring feature/devicenoc |
546 |
469 |
$5K |
| T4523 |
Adult size brief/diaper lg |
33 |
24 |
$5K |
| B4152 |
Ef calorie dense>/=1.5kcal |
888 |
562 |
$4K |
| A4553 |
Nondisp underpads, all sizes |
237 |
232 |
$4K |
| B9002 |
Enter nutr inf pump any type |
310 |
282 |
$2K |
| B4154 |
Ef spec metabolic noninherit |
203 |
156 |
$2K |
| K0001 |
Standard wheelchair |
83 |
76 |
$1K |
| E0776 |
Iv pole |
698 |
605 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
55 |
49 |
$722.07 |
| A7003 |
Nebulizer administration set |
30 |
29 |
$38.83 |
| A7013 |
Disposable compressor filter |
28 |
27 |
$13.91 |