| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
34,742 |
33,383 |
$1.76M |
| E0466 |
Home vent non-invasive inter |
2,435 |
2,364 |
$1.62M |
| E0601 |
Cont airway pressure device |
8,271 |
8,109 |
$380K |
| A7030 |
Cpap full face mask |
4,588 |
4,480 |
$306K |
| E0431 |
Portable gaseous 02 |
25,778 |
24,704 |
$224K |
| A7031 |
Replacement facemask interfa |
4,425 |
4,313 |
$220K |
| E0470 |
Rad w/o backup non-inv intfc |
2,533 |
2,366 |
$175K |
| E0562 |
Humidifier heated used w pap |
9,577 |
9,378 |
$140K |
| A4604 |
Tubing with heating element |
4,671 |
4,550 |
$139K |
| A7034 |
Nasal application device |
1,815 |
1,771 |
$87K |
| A7032 |
Replacement nasal cushion |
1,036 |
1,005 |
$76K |
| A7038 |
Pos airway pressure filter |
7,117 |
6,671 |
$64K |
| E0471 |
Rad w/backup non inv intrfc |
346 |
337 |
$61K |
| A7035 |
Pos airway press headgear |
3,811 |
3,701 |
$51K |
| A7033 |
Replacement nasal pillows |
307 |
303 |
$26K |
| E1392 |
Portable oxygen concentrator |
1,040 |
1,013 |
$24K |
| K0001 |
Standard wheelchair |
2,094 |
2,042 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,331 |
2,276 |
$19K |
| A7037 |
Pos airway pressure tubing |
1,679 |
1,635 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
462 |
445 |
$12K |
| E0570 |
Nebulizer with compression |
1,640 |
1,603 |
$11K |
| E2402 |
Neg press wound therapy pump |
15 |
13 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
629 |
622 |
$9K |
| A9279 |
Monitoring feature/devicenoc |
669 |
600 |
$4K |
| K0195 |
Elevating whlchair leg rests |
558 |
550 |
$3K |
| K0003 |
Lightweight wheelchair |
442 |
436 |
$3K |
| E0443 |
Portable 02 contents, gas |
249 |
242 |
$3K |
| A7036 |
Pos airway press chinstrap |
231 |
229 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
73 |
72 |
$1K |