| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,825 |
1,745 |
$321K |
| E1390 |
Oxygen concentrator |
6,516 |
5,591 |
$243K |
| E0562 |
Humidifier heated used w pap |
1,001 |
974 |
$124K |
| A7034 |
Nasal application device |
1,665 |
1,632 |
$109K |
| A4604 |
Tubing with heating element |
1,396 |
1,373 |
$57K |
| A7030 |
Cpap full face mask |
512 |
500 |
$49K |
| A7035 |
Pos airway press headgear |
1,853 |
1,812 |
$39K |
| A7038 |
Pos airway pressure filter |
2,468 |
2,272 |
$32K |
| E0260 |
Hosp bed semi-electr w/ matt |
920 |
843 |
$30K |
| K0001 |
Standard wheelchair |
1,534 |
1,442 |
$30K |
| E0604 |
Hosp grade elec breast pump |
609 |
605 |
$24K |
| A7032 |
Replacement nasal cushion |
273 |
246 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,204 |
1,099 |
$22K |
| A7037 |
Pos airway pressure tubing |
1,065 |
1,035 |
$22K |
| E0431 |
Portable gaseous 02 |
2,508 |
2,202 |
$21K |
| B4035 |
Enteral feed supp pump per d |
367 |
167 |
$18K |
| A7031 |
Replacement facemask interfa |
243 |
229 |
$14K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
63 |
52 |
$12K |
| A7046 |
Repl water chamber, pap dev |
879 |
858 |
$10K |
| A7036 |
Pos airway press chinstrap |
889 |
882 |
$9K |
| B9002 |
Enter nutr inf pump any type |
250 |
211 |
$8K |
| A7033 |
Replacement nasal pillows |
90 |
85 |
$7K |
| E0445 |
Oximeter non-invasive |
51 |
49 |
$6K |
| K0738 |
Portable gas oxygen system |
344 |
285 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
55 |
55 |
$4K |
| A9900 |
Supply/accessory/service |
105 |
103 |
$4K |
| B9998 |
Enteral supp not otherwise c |
27 |
24 |
$3K |
| E0570 |
Nebulizer with compression |
231 |
214 |
$1K |
| E0630 |
Patient lift hydraulic |
31 |
25 |
$343.62 |
| E0600 |
Suction pump portab hom modl |
15 |
13 |
$201.39 |