| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
31,677 |
29,964 |
$1.03M |
| A7030 |
Cpap full face mask |
4,069 |
3,892 |
$255K |
| E0466 |
Home vent non-invasive inter |
588 |
528 |
$201K |
| E0431 |
Portable gaseous 02 |
17,859 |
16,948 |
$139K |
| A7031 |
Replacement facemask interfa |
4,471 |
4,253 |
$139K |
| A7037 |
Pos airway pressure tubing |
6,914 |
6,689 |
$119K |
| A7034 |
Nasal application device |
2,712 |
2,596 |
$103K |
| A7032 |
Replacement nasal cushion |
2,328 |
2,218 |
$88K |
| E0601 |
Cont airway pressure device |
2,973 |
2,832 |
$69K |
| A7033 |
Replacement nasal pillows |
1,899 |
1,833 |
$57K |
| E0562 |
Humidifier heated used w pap |
2,481 |
2,307 |
$50K |
| A4604 |
Tubing with heating element |
2,148 |
2,044 |
$50K |
| A7038 |
Pos airway pressure filter |
11,106 |
10,595 |
$49K |
| E0570 |
Nebulizer with compression |
3,921 |
3,683 |
$49K |
| A7035 |
Pos airway press headgear |
3,722 |
3,550 |
$43K |
| A7046 |
Repl water chamber, pap dev |
3,198 |
3,067 |
$22K |
| E0443 |
Portable 02 contents, gas |
1,352 |
1,305 |
$16K |
| E1392 |
Portable oxygen concentrator |
1,428 |
1,312 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
279 |
258 |
$8K |
| A7005 |
Nondisposable nebulizer set |
772 |
659 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
139 |
135 |
$5K |
| B4035 |
Enteral feed supp pump per d |
74 |
63 |
$3K |
| A7039 |
Filter, non disposable w pap |
584 |
569 |
$2K |
| A7003 |
Nebulizer administration set |
1,513 |
1,342 |
$1K |
| K0001 |
Standard wheelchair |
113 |
106 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
353 |
288 |
$257.06 |
| A7013 |
Disposable compressor filter |
396 |
321 |
$124.03 |
| K0195 |
Elevating whlchair leg rests |
14 |
13 |
$91.27 |