| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
1,869 |
1,850 |
$248K |
| E0601 |
Cont airway pressure device |
6,031 |
5,754 |
$201K |
| E0562 |
Humidifier heated used w pap |
7,347 |
7,014 |
$69K |
| E0471 |
Rad w/backup non inv intrfc |
359 |
337 |
$68K |
| A7030 |
Cpap full face mask |
464 |
451 |
$29K |
| E0470 |
Rad w/o backup non-inv intfc |
187 |
182 |
$13K |
| A7035 |
Pos airway press headgear |
911 |
876 |
$6K |
| K0001 |
Standard wheelchair |
192 |
178 |
$3K |
| E0445 |
Oximeter non-invasive |
15 |
13 |
$2K |
| A7038 |
Pos airway pressure filter |
1,055 |
1,009 |
$2K |
| A7037 |
Pos airway pressure tubing |
200 |
196 |
$1K |
| A7031 |
Replacement facemask interfa |
72 |
69 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
40 |
40 |
$855.52 |
| E0570 |
Nebulizer with compression |
69 |
65 |
$200.14 |
| A4604 |
Tubing with heating element |
28 |
24 |
$0.00 |