| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,179 |
9,255 |
$399K |
| E0601 |
Cont airway pressure device |
5,735 |
5,317 |
$138K |
| E0431 |
Portable gaseous 02 |
7,044 |
6,396 |
$116K |
| A7030 |
Cpap full face mask |
1,555 |
1,447 |
$79K |
| E0562 |
Humidifier heated used w pap |
2,575 |
2,358 |
$61K |
| A7034 |
Nasal application device |
981 |
923 |
$34K |
| A7031 |
Replacement facemask interfa |
1,394 |
1,264 |
$30K |
| A7035 |
Pos airway press headgear |
1,756 |
1,641 |
$20K |
| A7038 |
Pos airway pressure filter |
3,317 |
2,841 |
$19K |
| A7037 |
Pos airway pressure tubing |
1,984 |
1,858 |
$17K |
| A7032 |
Replacement nasal cushion |
684 |
603 |
$14K |
| E0261 |
Hosp bed semi-electr w/o mat |
511 |
474 |
$9K |
| A7046 |
Repl water chamber, pap dev |
623 |
586 |
$9K |
| A4604 |
Tubing with heating element |
419 |
392 |
$9K |
| K0001 |
Standard wheelchair |
566 |
528 |
$8K |
| E0570 |
Nebulizer with compression |
1,790 |
1,648 |
$8K |
| A7039 |
Filter, non disposable w pap |
741 |
690 |
$6K |
| A9279 |
Monitoring feature/devicenoc |
443 |
364 |
$5K |
| E1392 |
Portable oxygen concentrator |
205 |
203 |
$5K |
| E0466 |
Home vent non-invasive inter |
15 |
13 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
68 |
67 |
$839.98 |
| A7033 |
Replacement nasal pillows |
40 |
37 |
$689.72 |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$523.56 |