| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,127 |
5,777 |
$317K |
| E0601 |
Cont airway pressure device |
3,189 |
3,029 |
$93K |
| A7030 |
Cpap full face mask |
1,149 |
1,071 |
$61K |
| E0466 |
Home vent non-invasive inter |
159 |
124 |
$49K |
| E0431 |
Portable gaseous 02 |
3,537 |
3,350 |
$39K |
| E0562 |
Humidifier heated used w pap |
1,009 |
967 |
$36K |
| A7034 |
Nasal application device |
1,046 |
978 |
$28K |
| A6196 |
Alginate dressing <=16 sq in |
216 |
190 |
$17K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
327 |
283 |
$14K |
| A7035 |
Pos airway press headgear |
1,485 |
1,381 |
$14K |
| E1392 |
Portable oxygen concentrator |
1,601 |
1,498 |
$13K |
| A6266 |
Impreg gauze no h20/sal/yard |
183 |
162 |
$11K |
| A7031 |
Replacement facemask interfa |
746 |
676 |
$11K |
| A7037 |
Pos airway pressure tubing |
1,582 |
1,473 |
$10K |
| A7038 |
Pos airway pressure filter |
2,354 |
2,179 |
$8K |
| A4604 |
Tubing with heating element |
434 |
419 |
$8K |
| A6446 |
Conform band s w>=3" <5"/yd |
519 |
438 |
$7K |
| A6402 |
Sterile gauze <= 16 sq in |
758 |
659 |
$4K |
| E2402 |
Neg press wound therapy pump |
18 |
12 |
$3K |
| A7033 |
Replacement nasal pillows |
228 |
208 |
$3K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
83 |
75 |
$2K |
| A4450 |
Non-waterproof tape |
380 |
328 |
$2K |
| E0570 |
Nebulizer with compression |
72 |
66 |
$1K |
| A4452 |
Waterproof tape |
87 |
78 |
$678.24 |
| A7046 |
Repl water chamber, pap dev |
121 |
112 |
$636.76 |
| A7039 |
Filter, non disposable w pap |
148 |
127 |
$475.39 |
| A6216 |
Non-sterile gauze<=16 sq in |
80 |
69 |
$385.89 |
| A6260 |
Wound cleanser any type/size |
26 |
25 |
$281.92 |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$121.41 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$92.78 |
| A9279 |
Monitoring feature/devicenoc |
16 |
14 |
$12.00 |