| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,913 |
4,821 |
$413K |
| E0601 |
Cont airway pressure device |
5,655 |
5,607 |
$335K |
| A7030 |
Cpap full face mask |
1,040 |
1,009 |
$77K |
| E0603 |
Electric breast pump |
541 |
538 |
$71K |
| E0562 |
Humidifier heated used w pap |
5,023 |
5,009 |
$70K |
| E0431 |
Portable gaseous 02 |
4,224 |
4,198 |
$68K |
| E0470 |
Rad w/o backup non-inv intfc |
580 |
576 |
$60K |
| A7038 |
Pos airway pressure filter |
1,876 |
1,854 |
$44K |
| E0570 |
Nebulizer with compression |
1,208 |
1,198 |
$38K |
| A7035 |
Pos airway press headgear |
1,633 |
1,582 |
$35K |
| A7037 |
Pos airway pressure tubing |
1,427 |
1,397 |
$32K |
| A7034 |
Nasal application device |
361 |
353 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
162 |
155 |
$8K |
| E0730 |
Tens four lead |
91 |
88 |
$3K |
| E0114 |
Crutch underarm pair no wood |
70 |
69 |
$2K |
| A7046 |
Repl water chamber, pap dev |
276 |
274 |
$2K |
| A7031 |
Replacement facemask interfa |
42 |
41 |
$2K |
| A4670 |
Automatic bp monitor, dial |
12 |
12 |
$747.60 |
| E0156 |
Walker seat attachment |
73 |
66 |
$522.93 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$218.97 |
| A4253 |
Blood glucose/reagent strips |
13 |
12 |
$124.26 |