| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,967 |
1,835 |
$166K |
| E1392 |
Portable oxygen concentrator |
1,078 |
1,006 |
$30K |
| E0601 |
Cont airway pressure device |
446 |
424 |
$23K |
| A7030 |
Cpap full face mask |
150 |
137 |
$21K |
| E0562 |
Humidifier heated used w pap |
488 |
469 |
$16K |
| E0570 |
Nebulizer with compression |
379 |
373 |
$15K |
| A7031 |
Replacement facemask interfa |
253 |
237 |
$13K |
| A7037 |
Pos airway pressure tubing |
215 |
203 |
$7K |
| A7038 |
Pos airway pressure filter |
772 |
738 |
$6K |
| A7034 |
Nasal application device |
66 |
65 |
$6K |
| A6530 |
Compression stocking bk18-30 |
56 |
55 |
$5K |
| A7035 |
Pos airway press headgear |
174 |
169 |
$5K |
| E0431 |
Portable gaseous 02 |
217 |
214 |
$4K |
| T4527 |
Adult size pull-on lg |
28 |
28 |
$4K |
| K0738 |
Portable gas oxygen system |
114 |
110 |
$3K |
| T4541 |
Large disposable underpad |
34 |
34 |
$3K |
| A7005 |
Nondisposable nebulizer set |
87 |
87 |
$2K |
| B4150 |
Ef complet w/intact nutrient |
16 |
16 |
$2K |
| A7032 |
Replacement nasal cushion |
79 |
69 |
$2K |
| A7046 |
Repl water chamber, pap dev |
119 |
110 |
$1K |
| A4927 |
Non-sterile gloves |
41 |
41 |
$901.83 |
| T4535 |
Disposable liner/shield/pad |
21 |
21 |
$523.82 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$465.86 |
| A7003 |
Nebulizer administration set |
98 |
92 |
$349.93 |
| E0605 |
Vaporizer room type |
13 |
13 |
$337.98 |
| A7015 |
Aerosol mask used w nebulize |
214 |
200 |
$258.31 |
| V5266 |
Battery for hearing device |
25 |
25 |
$212.55 |
| A7013 |
Disposable compressor filter |
188 |
181 |
$161.03 |