| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,564 |
10,829 |
$718K |
| A7034 |
Nasal application device |
6,161 |
5,579 |
$362K |
| E0603 |
Electric breast pump |
1,790 |
1,719 |
$326K |
| E1390 |
Oxygen concentrator |
3,521 |
3,171 |
$274K |
| A4604 |
Tubing with heating element |
7,873 |
7,142 |
$269K |
| A7030 |
Cpap full face mask |
2,652 |
2,399 |
$240K |
| E0562 |
Humidifier heated used w pap |
10,903 |
10,318 |
$202K |
| A7032 |
Replacement nasal cushion |
4,999 |
4,494 |
$193K |
| A7031 |
Replacement facemask interfa |
3,543 |
3,148 |
$120K |
| A7035 |
Pos airway press headgear |
5,761 |
5,216 |
$115K |
| A7033 |
Replacement nasal pillows |
2,772 |
2,414 |
$73K |
| A7038 |
Pos airway pressure filter |
11,919 |
10,796 |
$69K |
| E0470 |
Rad w/o backup non-inv intfc |
477 |
418 |
$53K |
| E0570 |
Nebulizer with compression |
674 |
641 |
$39K |
| A7046 |
Repl water chamber, pap dev |
4,059 |
3,680 |
$38K |
| E1392 |
Portable oxygen concentrator |
1,693 |
1,520 |
$33K |
| A7039 |
Filter, non disposable w pap |
3,989 |
3,599 |
$30K |
| E0600 |
Suction pump portab hom modl |
533 |
465 |
$12K |
| E0471 |
Rad w/backup non inv intrfc |
44 |
38 |
$10K |
| K0738 |
Portable gas oxygen system |
317 |
282 |
$8K |
| A7037 |
Pos airway pressure tubing |
106 |
93 |
$2K |
| A7002 |
Tubing used w suction pump |
170 |
139 |
$1K |
| A7003 |
Nebulizer administration set |
385 |
341 |
$1K |
| A7000 |
Disposable canister for pump |
51 |
43 |
$995.47 |
| A7526 |
Tracheostomy tube collar |
14 |
12 |
$807.30 |
| A7036 |
Pos airway press chinstrap |
73 |
67 |
$674.65 |
| A7520 |
Trach/laryn tube non-cuffed |
19 |
12 |
$337.04 |
| A7015 |
Aerosol mask used w nebulize |
97 |
89 |
$140.54 |