| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,963 |
3,461 |
$102K |
| A7030 |
Cpap full face mask |
1,225 |
1,136 |
$81K |
| E0601 |
Cont airway pressure device |
2,740 |
2,398 |
$58K |
| B4035 |
Enteral feed supp pump per d |
309 |
230 |
$32K |
| E0562 |
Humidifier heated used w pap |
1,860 |
1,570 |
$32K |
| A7035 |
Pos airway press headgear |
1,667 |
1,543 |
$24K |
| A7037 |
Pos airway pressure tubing |
1,527 |
1,414 |
$19K |
| E0431 |
Portable gaseous 02 |
1,813 |
1,590 |
$16K |
| A7034 |
Nasal application device |
333 |
310 |
$16K |
| E0603 |
Electric breast pump |
103 |
99 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,280 |
1,196 |
$15K |
| A7031 |
Replacement facemask interfa |
641 |
597 |
$15K |
| E0570 |
Nebulizer with compression |
1,457 |
1,305 |
$10K |
| A7038 |
Pos airway pressure filter |
2,236 |
2,083 |
$9K |
| K0001 |
Standard wheelchair |
1,212 |
1,107 |
$9K |
| E1392 |
Portable oxygen concentrator |
1,047 |
923 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
130 |
114 |
$5K |
| L4361 |
Pneuma/vac walk boot pre ots |
59 |
58 |
$4K |
| V5266 |
Battery for hearing device |
661 |
614 |
$4K |
| A7046 |
Repl water chamber, pap dev |
688 |
640 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
29 |
27 |
$1K |
| A4604 |
Tubing with heating element |
55 |
55 |
$731.85 |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$303.58 |
| A4409 |
Ost skn barr convex <=4 sq i |
13 |
12 |
$257.48 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$184.20 |
| A4456 |
Adhesive remover, wipes |
13 |
12 |
$25.20 |