| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
1,445 |
1,253 |
$77K |
| E1390 |
Oxygen concentrator |
1,524 |
1,091 |
$55K |
| E0445 |
Oximeter non-invasive |
1,277 |
971 |
$29K |
| E0601 |
Cont airway pressure device |
3,586 |
2,613 |
$24K |
| A7005 |
Nondisposable nebulizer set |
1,374 |
1,196 |
$23K |
| E0471 |
Rad w/backup non inv intrfc |
112 |
73 |
$12K |
| E0431 |
Portable gaseous 02 |
1,443 |
990 |
$11K |
| A7037 |
Pos airway pressure tubing |
338 |
299 |
$7K |
| E0562 |
Humidifier heated used w pap |
2,747 |
1,919 |
$4K |
| A7035 |
Pos airway press headgear |
114 |
99 |
$2K |
| A7034 |
Nasal application device |
25 |
25 |
$2K |
| A7032 |
Replacement nasal cushion |
95 |
92 |
$2K |
| A7038 |
Pos airway pressure filter |
493 |
439 |
$1K |
| A7014 |
Compressor nondispos filter |
485 |
440 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
1,421 |
1,234 |
$1K |
| A7046 |
Repl water chamber, pap dev |
99 |
93 |
$1K |
| A7000 |
Disposable canister for pump |
75 |
66 |
$1K |
| A9900 |
Supply/accessory/service |
1,014 |
361 |
$772.70 |
| E0600 |
Suction pump portab hom modl |
177 |
129 |
$400.48 |
| A7039 |
Filter, non disposable w pap |
53 |
49 |
$366.33 |
| E0776 |
Iv pole |
67 |
48 |
$345.63 |
| A7002 |
Tubing used w suction pump |
91 |
73 |
$146.16 |
| A4452 |
Waterproof tape |
43 |
24 |
$59.60 |
| E1399 |
Durable medical equipment mi |
576 |
158 |
$0.00 |