| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,067 |
23,239 |
$1.36M |
| E0466 |
Home vent non-invasive inter |
3,855 |
3,637 |
$1.16M |
| E0601 |
Cont airway pressure device |
7,018 |
6,438 |
$228K |
| E0431 |
Portable gaseous 02 |
16,610 |
15,402 |
$180K |
| E0470 |
Rad w/o backup non-inv intfc |
1,705 |
1,547 |
$128K |
| E0562 |
Humidifier heated used w pap |
1,449 |
1,280 |
$105K |
| A7030 |
Cpap full face mask |
1,635 |
1,505 |
$93K |
| E0570 |
Nebulizer with compression |
3,890 |
3,604 |
$63K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,079 |
1,871 |
$60K |
| A4604 |
Tubing with heating element |
1,865 |
1,698 |
$49K |
| A7031 |
Replacement facemask interfa |
2,017 |
1,847 |
$43K |
| A7032 |
Replacement nasal cushion |
1,278 |
1,160 |
$36K |
| A7034 |
Nasal application device |
909 |
829 |
$35K |
| A7035 |
Pos airway press headgear |
2,074 |
1,880 |
$31K |
| K0003 |
Lightweight wheelchair |
1,268 |
1,171 |
$26K |
| E0143 |
Walker folding wheeled w/o s |
662 |
599 |
$21K |
| K0001 |
Standard wheelchair |
1,412 |
1,232 |
$18K |
| A7038 |
Pos airway pressure filter |
4,920 |
4,456 |
$17K |
| K0004 |
High strength ltwt whlchr |
382 |
341 |
$12K |
| A7037 |
Pos airway pressure tubing |
975 |
891 |
$10K |
| A7033 |
Replacement nasal pillows |
361 |
338 |
$9K |
| A7005 |
Nondisposable nebulizer set |
587 |
544 |
$8K |
| E0163 |
Commode chair with fixed arm |
229 |
212 |
$7K |
| A7046 |
Repl water chamber, pap dev |
847 |
769 |
$6K |
| A7039 |
Filter, non disposable w pap |
604 |
541 |
$5K |
| E0973 |
W/ch access det adj armrest |
121 |
70 |
$3K |
| E1392 |
Portable oxygen concentrator |
687 |
647 |
$3K |
| A4627 |
Spacer bag/reservoir |
13 |
13 |
$177.92 |
| A7013 |
Disposable compressor filter |
175 |
155 |
$99.74 |