| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,623 |
12,490 |
$744K |
| E0466 |
Home vent non-invasive inter |
759 |
497 |
$206K |
| E0601 |
Cont airway pressure device |
5,237 |
3,794 |
$156K |
| E0431 |
Portable gaseous 02 |
11,289 |
8,044 |
$84K |
| A7030 |
Cpap full face mask |
2,099 |
1,495 |
$64K |
| E0261 |
Hosp bed semi-electr w/o mat |
2,059 |
1,275 |
$19K |
| A7037 |
Pos airway pressure tubing |
3,031 |
2,131 |
$17K |
| A7031 |
Replacement facemask interfa |
1,479 |
1,066 |
$16K |
| A7035 |
Pos airway press headgear |
1,810 |
1,287 |
$12K |
| K0003 |
Lightweight wheelchair |
1,560 |
956 |
$11K |
| E0562 |
Humidifier heated used w pap |
104 |
77 |
$9K |
| A7038 |
Pos airway pressure filter |
3,449 |
2,419 |
$7K |
| A7034 |
Nasal application device |
359 |
249 |
$6K |
| E0570 |
Nebulizer with compression |
1,144 |
772 |
$4K |
| A7039 |
Filter, non disposable w pap |
1,216 |
829 |
$3K |
| A9279 |
Monitoring feature/devicenoc |
940 |
697 |
$998.57 |
| E0470 |
Rad w/o backup non-inv intfc |
16 |
12 |
$991.00 |
| K0195 |
Elevating whlchair leg rests |
301 |
219 |
$656.31 |
| A7046 |
Repl water chamber, pap dev |
398 |
304 |
$556.16 |