| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,050 |
6,155 |
$336K |
| A7030 |
Cpap full face mask |
2,716 |
1,898 |
$127K |
| E0601 |
Cont airway pressure device |
4,049 |
2,787 |
$94K |
| E0570 |
Nebulizer with compression |
4,464 |
3,055 |
$84K |
| A7031 |
Replacement facemask interfa |
3,007 |
2,206 |
$72K |
| E0431 |
Portable gaseous 02 |
6,675 |
5,126 |
$66K |
| A4604 |
Tubing with heating element |
2,849 |
2,002 |
$42K |
| E0470 |
Rad w/o backup non-inv intfc |
665 |
491 |
$37K |
| E0466 |
Home vent non-invasive inter |
75 |
63 |
$26K |
| A7035 |
Pos airway press headgear |
1,997 |
1,450 |
$23K |
| A7034 |
Nasal application device |
506 |
384 |
$18K |
| K0001 |
Standard wheelchair |
1,158 |
823 |
$16K |
| E0562 |
Humidifier heated used w pap |
182 |
125 |
$16K |
| A7038 |
Pos airway pressure filter |
4,267 |
3,193 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,483 |
1,130 |
$9K |
| E1392 |
Portable oxygen concentrator |
660 |
545 |
$5K |
| A7032 |
Replacement nasal cushion |
215 |
185 |
$5K |
| A7037 |
Pos airway pressure tubing |
267 |
206 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
205 |
144 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
278 |
188 |
$4K |
| A7005 |
Nondisposable nebulizer set |
97 |
71 |
$1K |
| A4627 |
Spacer bag/reservoir |
34 |
34 |
$1K |
| A7003 |
Nebulizer administration set |
197 |
152 |
$506.47 |
| A7015 |
Aerosol mask used w nebulize |
182 |
150 |
$175.02 |
| A7039 |
Filter, non disposable w pap |
20 |
15 |
$96.28 |