| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,022 |
8,573 |
$439K |
| A7030 |
Cpap full face mask |
981 |
968 |
$83K |
| E0601 |
Cont airway pressure device |
1,963 |
1,872 |
$67K |
| E0431 |
Portable gaseous 02 |
6,004 |
5,674 |
$44K |
| A4604 |
Tubing with heating element |
1,593 |
1,555 |
$41K |
| E0562 |
Humidifier heated used w pap |
687 |
638 |
$36K |
| A7034 |
Nasal application device |
523 |
505 |
$32K |
| A7031 |
Replacement facemask interfa |
1,124 |
1,093 |
$29K |
| A7035 |
Pos airway press headgear |
1,036 |
1,013 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
149 |
139 |
$14K |
| A7032 |
Replacement nasal cushion |
303 |
288 |
$13K |
| K0001 |
Standard wheelchair |
720 |
709 |
$11K |
| E0570 |
Nebulizer with compression |
1,234 |
1,196 |
$10K |
| E0603 |
Electric breast pump |
65 |
65 |
$9K |
| A7038 |
Pos airway pressure filter |
2,267 |
2,197 |
$7K |
| E0424 |
Stationary compressed gas 02 |
88 |
88 |
$6K |
| E1392 |
Portable oxygen concentrator |
314 |
276 |
$4K |
| A7046 |
Repl water chamber, pap dev |
412 |
407 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
26 |
25 |
$1K |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$633.24 |
| A7036 |
Pos airway press chinstrap |
42 |
41 |
$495.89 |
| A7005 |
Nondisposable nebulizer set |
14 |
14 |
$265.17 |
| T4541 |
Large disposable underpad |
13 |
13 |
$262.50 |
| E0118 |
Crutch substitute |
12 |
12 |
$154.35 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$10.04 |