| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
85,193 |
77,316 |
$8.08M |
| E0466 |
Home vent non-invasive inter |
5,966 |
5,576 |
$2.99M |
| E0431 |
Portable gaseous 02 |
65,333 |
59,665 |
$1.09M |
| E0601 |
Cont airway pressure device |
5,621 |
5,032 |
$280K |
| E0470 |
Rad w/o backup non-inv intfc |
1,113 |
983 |
$168K |
| E1392 |
Portable oxygen concentrator |
9,033 |
8,252 |
$153K |
| E0570 |
Nebulizer with compression |
5,938 |
5,739 |
$139K |
| E0562 |
Humidifier heated used w pap |
6,914 |
6,177 |
$118K |
| K0738 |
Portable gas oxygen system |
2,736 |
2,411 |
$82K |
| A7030 |
Cpap full face mask |
637 |
591 |
$62K |
| E0260 |
Hosp bed semi-electr w/ matt |
729 |
480 |
$54K |
| K0001 |
Standard wheelchair |
999 |
800 |
$41K |
| A7035 |
Pos airway press headgear |
1,698 |
1,574 |
$35K |
| E0600 |
Suction pump portab hom modl |
1,465 |
1,387 |
$27K |
| A7037 |
Pos airway pressure tubing |
1,335 |
1,245 |
$27K |
| A7034 |
Nasal application device |
297 |
274 |
$18K |
| A7031 |
Replacement facemask interfa |
387 |
368 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,306 |
1,204 |
$14K |
| A7038 |
Pos airway pressure filter |
2,219 |
2,048 |
$9K |
| A7003 |
Nebulizer administration set |
3,153 |
2,805 |
$9K |
| E0443 |
Portable 02 contents, gas |
309 |
273 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
44 |
41 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
2,842 |
2,548 |
$3K |
| A7039 |
Filter, non disposable w pap |
377 |
361 |
$3K |
| K0003 |
Lightweight wheelchair |
37 |
24 |
$2K |
| A7000 |
Disposable canister for pump |
325 |
264 |
$2K |
| E0565 |
Compressor air power source |
75 |
74 |
$1K |
| A7002 |
Tubing used w suction pump |
144 |
100 |
$398.73 |
| A7032 |
Replacement nasal cushion |
14 |
14 |
$380.18 |
| A4628 |
Oropharyngeal suction cath |
13 |
12 |
$53.74 |
| A7013 |
Disposable compressor filter |
32 |
24 |
$15.54 |