| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,390 |
3,236 |
$111K |
| T4528 |
Adult size pull-on xl |
772 |
749 |
$94K |
| T4535 |
Disposable liner/shield/pad |
1,066 |
1,013 |
$79K |
| B4035 |
Enteral feed supp pump per d |
437 |
402 |
$75K |
| A4604 |
Tubing with heating element |
2,638 |
2,504 |
$71K |
| A7030 |
Cpap full face mask |
1,013 |
966 |
$68K |
| T4527 |
Adult size pull-on lg |
630 |
609 |
$66K |
| E1390 |
Oxygen concentrator |
1,252 |
1,085 |
$66K |
| A7034 |
Nasal application device |
1,314 |
1,250 |
$54K |
| A7031 |
Replacement facemask interfa |
2,342 |
2,241 |
$53K |
| E0562 |
Humidifier heated used w pap |
2,115 |
2,016 |
$44K |
| A7032 |
Replacement nasal cushion |
1,098 |
1,045 |
$30K |
| T4537 |
Reusable underpad bed size |
632 |
621 |
$26K |
| A7035 |
Pos airway press headgear |
1,780 |
1,695 |
$24K |
| T4526 |
Adult size pull-on med |
289 |
273 |
$24K |
| A4927 |
Non-sterile gloves |
1,147 |
1,096 |
$22K |
| A7033 |
Replacement nasal pillows |
900 |
869 |
$19K |
| A7038 |
Pos airway pressure filter |
4,783 |
4,577 |
$16K |
| B9002 |
Enter nutr inf pump any type |
149 |
145 |
$12K |
| E0431 |
Portable gaseous 02 |
467 |
431 |
$5K |
| A7046 |
Repl water chamber, pap dev |
507 |
482 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
27 |
24 |
$3K |
| E0776 |
Iv pole |
99 |
95 |
$2K |
| T4541 |
Large disposable underpad |
12 |
12 |
$364.80 |