| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,518 |
1,384 |
$304K |
| E0601 |
Continuous positive airway pressure (cpap) device |
959 |
937 |
$36K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
908 |
849 |
$28K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
120 |
120 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
120 |
120 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
130 |
127 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
39 |
39 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
615 |
276 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
27 |
26 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
37 |
37 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$739.05 |