| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,286 |
1,870 |
$150K |
| E0601 |
Cont airway pressure device |
918 |
790 |
$48K |
| B4035 |
Enteral feed supp pump per d |
300 |
227 |
$33K |
| A7030 |
Cpap full face mask |
265 |
248 |
$25K |
| E0562 |
Humidifier heated used w pap |
908 |
795 |
$24K |
| E0570 |
Nebulizer with compression |
558 |
462 |
$21K |
| E0431 |
Portable gaseous 02 |
1,388 |
1,137 |
$17K |
| A7038 |
Pos airway pressure filter |
1,206 |
1,035 |
$5K |
| A7035 |
Pos airway press headgear |
318 |
285 |
$5K |
| A7031 |
Replacement facemask interfa |
70 |
63 |
$3K |
| A7037 |
Pos airway pressure tubing |
678 |
614 |
$2K |
| A7003 |
Nebulizer administration set |
149 |
132 |
$520.03 |
| A4520 |
Incontinence garment anytype |
15 |
12 |
$315.96 |
| A7046 |
Repl water chamber, pap dev |
16 |
12 |
$75.37 |
| A7015 |
Aerosol mask used w nebulize |
52 |
45 |
$73.07 |