| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,402 |
7,180 |
$502K |
| E0601 |
Cont airway pressure device |
3,153 |
3,100 |
$175K |
| A7030 |
Cpap full face mask |
1,639 |
1,611 |
$159K |
| A7031 |
Replacement facemask interfa |
3,366 |
3,295 |
$156K |
| E0570 |
Nebulizer with compression |
5,132 |
4,981 |
$98K |
| A7034 |
Nasal application device |
1,296 |
1,273 |
$77K |
| A7032 |
Replacement nasal cushion |
1,544 |
1,508 |
$76K |
| A4604 |
Tubing with heating element |
1,437 |
1,406 |
$48K |
| K0738 |
Portable gas oxygen system |
2,999 |
2,886 |
$46K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,382 |
1,333 |
$46K |
| A7038 |
Pos airway pressure filter |
6,563 |
6,284 |
$35K |
| A7037 |
Pos airway pressure tubing |
1,705 |
1,679 |
$34K |
| A7033 |
Replacement nasal pillows |
899 |
885 |
$30K |
| A7035 |
Pos airway press headgear |
1,609 |
1,579 |
$29K |
| K0001 |
Standard wheelchair |
1,251 |
1,222 |
$25K |
| E0143 |
Walker folding wheeled w/o s |
467 |
444 |
$23K |
| E0603 |
Electric breast pump |
98 |
97 |
$21K |
| E0562 |
Humidifier heated used w pap |
121 |
118 |
$20K |
| E0431 |
Portable gaseous 02 |
1,003 |
988 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,370 |
1,354 |
$14K |
| A7039 |
Filter, non disposable w pap |
1,111 |
1,102 |
$9K |
| E1392 |
Portable oxygen concentrator |
429 |
425 |
$4K |
| K0195 |
Elevating whlchair leg rests |
537 |
517 |
$3K |
| A7005 |
Nondisposable nebulizer set |
102 |
101 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$1K |
| E0114 |
Crutch underarm pair no wood |
44 |
44 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
73 |
72 |
$71.65 |
| A7013 |
Disposable compressor filter |
63 |
63 |
$27.94 |