| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,384 |
13,914 |
$672K |
| E0431 |
Portable gaseous 02 |
11,306 |
9,639 |
$110K |
| E0601 |
Cont airway pressure device |
2,401 |
2,123 |
$85K |
| E0470 |
Rad w/o backup non-inv intfc |
1,259 |
1,059 |
$84K |
| A7034 |
Nasal application device |
694 |
604 |
$22K |
| E0562 |
Humidifier heated used w pap |
625 |
557 |
$18K |
| A7030 |
Cpap full face mask |
423 |
349 |
$14K |
| A4604 |
Tubing with heating element |
692 |
612 |
$14K |
| A7035 |
Pos airway press headgear |
1,195 |
1,046 |
$13K |
| E0570 |
Nebulizer with compression |
890 |
735 |
$12K |
| A7037 |
Pos airway pressure tubing |
1,154 |
1,041 |
$10K |
| A7031 |
Replacement facemask interfa |
541 |
473 |
$10K |
| A7032 |
Replacement nasal cushion |
477 |
430 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,090 |
976 |
$8K |
| A7038 |
Pos airway pressure filter |
2,856 |
2,453 |
$8K |
| E1392 |
Portable oxygen concentrator |
414 |
337 |
$5K |
| A7039 |
Filter, non disposable w pap |
906 |
790 |
$4K |
| A6446 |
Conform band s w>=3" <5"/yd |
168 |
142 |
$3K |
| E0466 |
Home vent non-invasive inter |
20 |
12 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
376 |
317 |
$2K |
| A4450 |
Non-waterproof tape |
172 |
146 |
$564.70 |
| K0003 |
Lightweight wheelchair |
12 |
12 |
$323.51 |