| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
48,782 |
44,638 |
$2.20M |
| E0466 |
Home vent non-invasive inter |
2,234 |
1,913 |
$803K |
| E0483 |
Hi freq chest wall oscil sys |
1,065 |
929 |
$579K |
| E0601 |
Cont airway pressure device |
9,426 |
8,422 |
$279K |
| E0431 |
Portable gaseous 02 |
16,125 |
14,611 |
$140K |
| A7030 |
Cpap full face mask |
3,068 |
2,768 |
$138K |
| E0562 |
Humidifier heated used w pap |
5,706 |
5,038 |
$94K |
| A7034 |
Nasal application device |
1,936 |
1,775 |
$65K |
| A7037 |
Pos airway pressure tubing |
6,896 |
6,390 |
$55K |
| A7031 |
Replacement facemask interfa |
2,584 |
2,345 |
$51K |
| A7035 |
Pos airway press headgear |
3,709 |
3,365 |
$40K |
| A7046 |
Repl water chamber, pap dev |
3,673 |
3,467 |
$32K |
| E0570 |
Nebulizer with compression |
1,734 |
1,450 |
$26K |
| E0261 |
Hosp bed semi-electr w/o mat |
934 |
826 |
$21K |
| A7032 |
Replacement nasal cushion |
1,093 |
1,001 |
$19K |
| A7038 |
Pos airway pressure filter |
7,306 |
6,700 |
$19K |
| A7039 |
Filter, non disposable w pap |
3,450 |
3,128 |
$13K |
| K0001 |
Standard wheelchair |
1,046 |
932 |
$10K |
| E1392 |
Portable oxygen concentrator |
565 |
513 |
$10K |
| A7033 |
Replacement nasal pillows |
32 |
31 |
$1K |
| A9279 |
Monitoring feature/devicenoc |
813 |
593 |
$449.61 |
| E0470 |
Rad w/o backup non-inv intfc |
16 |
12 |
$353.51 |
| E0443 |
Portable 02 contents, gas |
38 |
37 |
$334.53 |