| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,883 |
4,858 |
$332K |
| E0601 |
Cont airway pressure device |
3,459 |
3,431 |
$141K |
| E0431 |
Portable gaseous 02 |
2,670 |
2,654 |
$41K |
| E0570 |
Nebulizer with compression |
818 |
808 |
$38K |
| E0470 |
Rad w/o backup non-inv intfc |
322 |
322 |
$29K |
| A7030 |
Cpap full face mask |
478 |
466 |
$22K |
| B4035 |
Enteral feed supp pump per d |
135 |
106 |
$20K |
| B4087 |
Gastro/jejuno tube, std |
288 |
256 |
$16K |
| E0603 |
Electric breast pump |
116 |
112 |
$14K |
| A7035 |
Pos airway press headgear |
903 |
882 |
$11K |
| A7031 |
Replacement facemask interfa |
472 |
455 |
$10K |
| E0562 |
Humidifier heated used w pap |
134 |
132 |
$8K |
| A7037 |
Pos airway pressure tubing |
464 |
464 |
$7K |
| A7038 |
Pos airway pressure filter |
1,501 |
1,451 |
$5K |
| A7034 |
Nasal application device |
154 |
147 |
$4K |
| K0738 |
Portable gas oxygen system |
527 |
525 |
$3K |
| A7005 |
Nondisposable nebulizer set |
262 |
230 |
$3K |
| A7046 |
Repl water chamber, pap dev |
258 |
252 |
$1K |
| A4604 |
Tubing with heating element |
146 |
144 |
$670.90 |
| A4927 |
Non-sterile gloves |
61 |
57 |
$622.84 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$468.49 |
| S5199 |
Personal care item nos each |
69 |
61 |
$419.70 |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$355.72 |
| A7003 |
Nebulizer administration set |
98 |
86 |
$63.39 |
| A7015 |
Aerosol mask used w nebulize |
41 |
38 |
$37.72 |