| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
64,791 |
60,952 |
$3.94M |
| E0466 |
Home vent non-invasive inter |
2,712 |
2,540 |
$1.13M |
| E0441 |
Stationary o2 contents, gas |
9,271 |
8,860 |
$468K |
| E0431 |
Portable gaseous 02 |
30,219 |
28,369 |
$357K |
| A7030 |
Cpap full face mask |
4,490 |
4,027 |
$242K |
| E0601 |
Cont airway pressure device |
5,399 |
4,747 |
$200K |
| E0562 |
Humidifier heated used w pap |
4,534 |
3,758 |
$193K |
| A7031 |
Replacement facemask interfa |
5,317 |
4,681 |
$132K |
| E0470 |
Rad w/o backup non-inv intfc |
1,141 |
1,009 |
$117K |
| E1392 |
Portable oxygen concentrator |
5,286 |
4,929 |
$61K |
| E0483 |
Hi freq chest wall oscil sys |
103 |
100 |
$58K |
| A7034 |
Nasal application device |
1,678 |
1,542 |
$56K |
| A7035 |
Pos airway press headgear |
3,932 |
3,560 |
$48K |
| A7037 |
Pos airway pressure tubing |
3,701 |
3,405 |
$41K |
| A4604 |
Tubing with heating element |
2,278 |
2,032 |
$41K |
| E0570 |
Nebulizer with compression |
4,541 |
3,809 |
$38K |
| A7046 |
Repl water chamber, pap dev |
3,375 |
3,092 |
$26K |
| A7032 |
Replacement nasal cushion |
1,322 |
1,162 |
$25K |
| A7038 |
Pos airway pressure filter |
9,216 |
8,256 |
$23K |
| E0443 |
Portable 02 contents, gas |
1,945 |
1,378 |
$20K |
| E0439 |
Stationary liquid 02 |
88 |
83 |
$4K |
| E0442 |
Stationary o2 contents, liq |
178 |
108 |
$3K |
| A7005 |
Nondisposable nebulizer set |
386 |
345 |
$3K |
| A7003 |
Nebulizer administration set |
1,604 |
1,463 |
$2K |
| E0434 |
Portable liquid 02 |
108 |
37 |
$2K |
| A7033 |
Replacement nasal pillows |
56 |
50 |
$1K |
| A7013 |
Disposable compressor filter |
84 |
78 |
$27.23 |