| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
29,455 |
26,490 |
$1.82M |
| E0466 |
Home vent non-invasive inter |
1,655 |
1,447 |
$607K |
| E0601 |
Cont airway pressure device |
4,068 |
3,720 |
$183K |
| E0431 |
Portable gaseous 02 |
11,712 |
10,392 |
$156K |
| A7030 |
Cpap full face mask |
2,067 |
1,874 |
$140K |
| A7037 |
Pos airway pressure tubing |
4,264 |
3,885 |
$85K |
| E0562 |
Humidifier heated used w pap |
1,696 |
1,495 |
$71K |
| E0570 |
Nebulizer with compression |
4,154 |
3,801 |
$60K |
| A7038 |
Pos airway pressure filter |
7,977 |
7,268 |
$60K |
| E0470 |
Rad w/o backup non-inv intfc |
601 |
535 |
$59K |
| A7031 |
Replacement facemask interfa |
2,103 |
1,908 |
$57K |
| A4604 |
Tubing with heating element |
1,711 |
1,532 |
$56K |
| A7035 |
Pos airway press headgear |
2,289 |
2,050 |
$44K |
| A7034 |
Nasal application device |
740 |
661 |
$32K |
| A7032 |
Replacement nasal cushion |
775 |
694 |
$30K |
| K0001 |
Standard wheelchair |
1,629 |
1,432 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
719 |
627 |
$20K |
| A7033 |
Replacement nasal pillows |
229 |
202 |
$6K |
| A7046 |
Repl water chamber, pap dev |
827 |
753 |
$6K |
| A7003 |
Nebulizer administration set |
2,551 |
2,307 |
$4K |
| E1392 |
Portable oxygen concentrator |
252 |
227 |
$860.47 |