| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,362 |
2,125 |
$754K |
| E1390 |
Oxygen concentrator |
11,948 |
11,117 |
$493K |
| A7031 |
Replacement facemask interfa |
2,697 |
2,562 |
$85K |
| A7030 |
Cpap full face mask |
1,261 |
1,208 |
$83K |
| E0601 |
Cont airway pressure device |
2,157 |
2,014 |
$76K |
| E0562 |
Humidifier heated used w pap |
3,251 |
3,076 |
$41K |
| E0431 |
Portable gaseous 02 |
5,775 |
5,340 |
$40K |
| E0483 |
Hi freq chest wall oscil sys |
151 |
130 |
$34K |
| E0570 |
Nebulizer with compression |
3,099 |
2,960 |
$27K |
| A7037 |
Pos airway pressure tubing |
1,609 |
1,562 |
$21K |
| A7038 |
Pos airway pressure filter |
3,997 |
3,792 |
$15K |
| A7035 |
Pos airway press headgear |
1,006 |
964 |
$14K |
| K0001 |
Standard wheelchair |
1,145 |
1,049 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
70 |
65 |
$7K |
| A7032 |
Replacement nasal cushion |
112 |
107 |
$3K |
| A7046 |
Repl water chamber, pap dev |
384 |
378 |
$3K |
| A7034 |
Nasal application device |
44 |
41 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
56 |
50 |
$1K |
| K0195 |
Elevating whlchair leg rests |
238 |
226 |
$786.09 |
| A7005 |
Nondisposable nebulizer set |
84 |
82 |
$606.73 |
| A7003 |
Nebulizer administration set |
995 |
958 |
$404.26 |
| E1392 |
Portable oxygen concentrator |
59 |
49 |
$355.24 |
| A7039 |
Filter, non disposable w pap |
28 |
28 |
$136.35 |
| A7013 |
Disposable compressor filter |
25 |
25 |
$8.46 |
| A4604 |
Tubing with heating element |
68 |
56 |
$0.00 |