| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
40,040 |
19,280 |
$1.05M |
| E0466 |
Home vent non-invasive inter |
5,047 |
2,162 |
$880K |
| E0601 |
Cont airway pressure device |
8,886 |
5,299 |
$207K |
| A7030 |
Cpap full face mask |
3,114 |
2,167 |
$131K |
| K0738 |
Portable gas oxygen system |
14,018 |
6,632 |
$112K |
| E0470 |
Rad w/o backup non-inv intfc |
1,997 |
1,069 |
$87K |
| E1392 |
Portable oxygen concentrator |
6,707 |
3,678 |
$64K |
| E0431 |
Portable gaseous 02 |
6,566 |
3,508 |
$51K |
| E0562 |
Humidifier heated used w pap |
422 |
310 |
$40K |
| A7031 |
Replacement facemask interfa |
2,810 |
1,771 |
$38K |
| A7035 |
Pos airway press headgear |
3,198 |
2,251 |
$28K |
| A7034 |
Nasal application device |
1,196 |
845 |
$28K |
| A4604 |
Tubing with heating element |
2,264 |
1,578 |
$22K |
| A7037 |
Pos airway pressure tubing |
1,684 |
1,237 |
$18K |
| A7038 |
Pos airway pressure filter |
5,249 |
3,518 |
$12K |
| E0570 |
Nebulizer with compression |
1,689 |
899 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,043 |
771 |
$5K |
| E0445 |
Oximeter non-invasive |
50 |
38 |
$4K |
| A7032 |
Replacement nasal cushion |
268 |
206 |
$3K |
| A7000 |
Disposable canister for pump |
102 |
37 |
$698.34 |
| K0001 |
Standard wheelchair |
28 |
12 |
$181.50 |
| E0424 |
Stationary compressed gas 02 |
15 |
12 |
$77.50 |
| A7036 |
Pos airway press chinstrap |
18 |
15 |
$53.59 |