| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
9,300 |
7,622 |
$219K |
| E0465 |
Home vent invasive interface |
490 |
431 |
$177K |
| E1390 |
Oxygen concentrator |
5,195 |
4,254 |
$158K |
| A7030 |
Cpap full face mask |
2,756 |
2,250 |
$113K |
| E0562 |
Humidifier heated used w pap |
8,506 |
7,036 |
$73K |
| A7034 |
Nasal application device |
1,964 |
1,615 |
$50K |
| A7031 |
Replacement facemask interfa |
2,209 |
1,906 |
$36K |
| A7035 |
Pos airway press headgear |
3,749 |
3,062 |
$32K |
| A4604 |
Tubing with heating element |
1,968 |
1,615 |
$29K |
| E0470 |
Rad w/o backup non-inv intfc |
516 |
415 |
$27K |
| A7032 |
Replacement nasal cushion |
1,673 |
1,424 |
$25K |
| A4623 |
Tracheostomy inner cannula |
411 |
315 |
$24K |
| A7037 |
Pos airway pressure tubing |
3,139 |
2,583 |
$23K |
| E0431 |
Portable gaseous 02 |
2,782 |
2,358 |
$21K |
| A7038 |
Pos airway pressure filter |
7,735 |
6,502 |
$18K |
| E0466 |
Home vent non-invasive inter |
62 |
48 |
$12K |
| A7039 |
Filter, non disposable w pap |
2,757 |
2,244 |
$9K |
| A4629 |
Tracheostomy care kit |
218 |
168 |
$8K |
| A7526 |
Tracheostomy tube collar |
626 |
463 |
$8K |
| E0570 |
Nebulizer with compression |
2,575 |
2,144 |
$6K |
| A7046 |
Repl water chamber, pap dev |
671 |
585 |
$3K |
| K0001 |
Standard wheelchair |
229 |
164 |
$3K |
| A4624 |
Tracheal suction tube |
31 |
26 |
$3K |
| K0195 |
Elevating whlchair leg rests |
173 |
132 |
$1K |
| A7036 |
Pos airway press chinstrap |
167 |
127 |
$1K |
| A7033 |
Replacement nasal pillows |
43 |
37 |
$666.98 |
| E0600 |
Suction pump portab hom modl |
57 |
39 |
$524.04 |
| A7003 |
Nebulizer administration set |
317 |
259 |
$297.87 |
| A7000 |
Disposable canister for pump |
73 |
52 |
$270.54 |
| A7002 |
Tubing used w suction pump |
57 |
41 |
$173.93 |
| A7012 |
Nebulizer water collec devic |
52 |
37 |
$99.60 |