| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,324 |
14,811 |
$728K |
| E0466 |
Home vent non-invasive inter |
2,803 |
1,893 |
$548K |
| E0601 |
Cont airway pressure device |
4,790 |
2,782 |
$97K |
| E0431 |
Portable gaseous 02 |
7,823 |
5,737 |
$57K |
| E0430 |
Oxygen system gas portable |
908 |
454 |
$27K |
| A7030 |
Cpap full face mask |
680 |
476 |
$19K |
| E0570 |
Nebulizer with compression |
2,845 |
2,154 |
$10K |
| E0562 |
Humidifier heated used w pap |
788 |
556 |
$8K |
| A7031 |
Replacement facemask interfa |
900 |
641 |
$7K |
| E1392 |
Portable oxygen concentrator |
423 |
311 |
$4K |
| A7037 |
Pos airway pressure tubing |
1,870 |
1,300 |
$3K |
| A7032 |
Replacement nasal cushion |
92 |
62 |
$2K |
| A7034 |
Nasal application device |
231 |
158 |
$2K |
| E0443 |
Portable 02 contents, gas |
167 |
153 |
$2K |
| A7035 |
Pos airway press headgear |
561 |
408 |
$1K |
| A7003 |
Nebulizer administration set |
1,901 |
1,567 |
$1K |
| A7046 |
Repl water chamber, pap dev |
229 |
157 |
$979.88 |
| A7038 |
Pos airway pressure filter |
2,423 |
1,710 |
$955.51 |
| E0260 |
Hosp bed semi-electr w/ matt |
62 |
39 |
$835.03 |
| A7005 |
Nondisposable nebulizer set |
250 |
192 |
$686.26 |
| K0001 |
Standard wheelchair |
42 |
40 |
$275.61 |
| A7039 |
Filter, non disposable w pap |
119 |
93 |
$27.44 |