| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,162 |
3,019 |
$127K |
| E0603 |
Electric breast pump |
425 |
403 |
$91K |
| E0118 |
Crutch substitute |
1,015 |
1,009 |
$47K |
| E1390 |
Oxygen concentrator |
486 |
472 |
$35K |
| E0562 |
Humidifier heated used w pap |
238 |
225 |
$29K |
| E0470 |
Rad w/o backup non-inv intfc |
201 |
200 |
$17K |
| E1392 |
Portable oxygen concentrator |
388 |
377 |
$12K |
| A4604 |
Tubing with heating element |
422 |
402 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
162 |
155 |
$8K |
| E0114 |
Crutch underarm pair no wood |
135 |
129 |
$6K |
| E0570 |
Nebulizer with compression |
135 |
132 |
$6K |
| A7030 |
Cpap full face mask |
73 |
69 |
$4K |
| A7034 |
Nasal application device |
72 |
70 |
$3K |
| A7035 |
Pos airway press headgear |
204 |
193 |
$3K |
| A7038 |
Pos airway pressure filter |
707 |
680 |
$3K |
| A7031 |
Replacement facemask interfa |
66 |
64 |
$2K |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$415.68 |