| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,736 |
3,465 |
$198K |
| E0601 |
Cont airway pressure device |
2,452 |
2,274 |
$146K |
| A7030 |
Cpap full face mask |
693 |
670 |
$60K |
| A7031 |
Replacement facemask interfa |
1,724 |
1,663 |
$58K |
| E0562 |
Humidifier heated used w pap |
3,092 |
2,867 |
$44K |
| A7032 |
Replacement nasal cushion |
769 |
752 |
$33K |
| E0570 |
Nebulizer with compression |
1,606 |
1,519 |
$31K |
| A7034 |
Nasal application device |
477 |
469 |
$29K |
| A4604 |
Tubing with heating element |
717 |
692 |
$28K |
| E0603 |
Electric breast pump |
173 |
147 |
$28K |
| A7035 |
Pos airway press headgear |
1,255 |
1,195 |
$19K |
| A7038 |
Pos airway pressure filter |
3,684 |
3,540 |
$14K |
| E1392 |
Portable oxygen concentrator |
461 |
442 |
$13K |
| A7037 |
Pos airway pressure tubing |
1,281 |
1,233 |
$13K |
| A4351 |
Straight tip urine catheter |
53 |
51 |
$11K |
| E0431 |
Portable gaseous 02 |
1,351 |
1,257 |
$10K |
| A7046 |
Repl water chamber, pap dev |
609 |
597 |
$8K |
| A4520 |
Incontinence garment anytype |
54 |
51 |
$7K |
| A7033 |
Replacement nasal pillows |
239 |
231 |
$7K |
| A7005 |
Nondisposable nebulizer set |
229 |
224 |
$6K |
| A4385 |
Ost skn barrier sld ext wear |
26 |
24 |
$2K |
| E0114 |
Crutch underarm pair no wood |
29 |
26 |
$1K |
| A7003 |
Nebulizer administration set |
357 |
336 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
14 |
13 |
$707.82 |
| A7013 |
Disposable compressor filter |
352 |
344 |
$404.83 |
| A7015 |
Aerosol mask used w nebulize |
14 |
14 |
$22.98 |