| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,359 |
5,273 |
$309K |
| E0601 |
Cont airway pressure device |
5,800 |
5,713 |
$185K |
| E0603 |
Electric breast pump |
1,156 |
1,135 |
$160K |
| E0445 |
Oximeter non-invasive |
760 |
640 |
$88K |
| E0431 |
Portable gaseous 02 |
4,333 |
4,215 |
$65K |
| E0562 |
Humidifier heated used w pap |
6,251 |
6,129 |
$65K |
| A7030 |
Cpap full face mask |
565 |
556 |
$45K |
| K0001 |
Standard wheelchair |
1,582 |
1,546 |
$26K |
| E0570 |
Nebulizer with compression |
1,463 |
1,419 |
$17K |
| A4927 |
Non-sterile gloves |
1,144 |
1,028 |
$13K |
| A7034 |
Nasal application device |
203 |
202 |
$11K |
| A4554 |
Disposable underpads |
472 |
444 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
77 |
75 |
$5K |
| A7035 |
Pos airway press headgear |
1,203 |
1,189 |
$4K |
| T4527 |
Adult size pull-on lg |
28 |
25 |
$3K |
| A7037 |
Pos airway pressure tubing |
636 |
628 |
$2K |
| A7031 |
Replacement facemask interfa |
127 |
120 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
81 |
80 |
$2K |
| A7038 |
Pos airway pressure filter |
1,311 |
1,285 |
$1K |
| E0443 |
Portable 02 contents, gas |
30 |
28 |
$954.13 |
| A7005 |
Nondisposable nebulizer set |
160 |
158 |
$382.17 |
| A7000 |
Disposable canister for pump |
13 |
13 |
$55.04 |
| A4604 |
Tubing with heating element |
25 |
25 |
$35.84 |