| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
45,729 |
42,386 |
$1.85M |
| E0466 |
Home vent non-invasive inter |
2,278 |
2,167 |
$992K |
| E0431 |
Portable gaseous 02 |
28,220 |
26,267 |
$377K |
| A7030 |
Cpap full face mask |
3,003 |
2,818 |
$124K |
| E0601 |
Cont airway pressure device |
3,489 |
3,173 |
$107K |
| A7031 |
Replacement facemask interfa |
4,072 |
3,810 |
$84K |
| E0470 |
Rad w/o backup non-inv intfc |
877 |
755 |
$62K |
| E0562 |
Humidifier heated used w pap |
2,444 |
2,287 |
$48K |
| E0570 |
Nebulizer with compression |
4,269 |
3,966 |
$42K |
| E0143 |
Walker folding wheeled w/o s |
1,407 |
1,280 |
$41K |
| A7034 |
Nasal application device |
1,694 |
1,597 |
$38K |
| E1392 |
Portable oxygen concentrator |
2,872 |
2,702 |
$38K |
| A7035 |
Pos airway press headgear |
2,886 |
2,711 |
$32K |
| A7037 |
Pos airway pressure tubing |
3,467 |
3,264 |
$30K |
| A7032 |
Replacement nasal cushion |
1,012 |
964 |
$27K |
| A7038 |
Pos airway pressure filter |
9,574 |
8,859 |
$24K |
| A7033 |
Replacement nasal pillows |
1,062 |
1,004 |
$23K |
| A4604 |
Tubing with heating element |
1,084 |
1,028 |
$20K |
| K0001 |
Standard wheelchair |
1,000 |
926 |
$20K |
| E0260 |
Hosp bed semi-electr w/ matt |
110 |
83 |
$5K |
| A7046 |
Repl water chamber, pap dev |
1,601 |
1,510 |
$4K |
| A7003 |
Nebulizer administration set |
1,372 |
1,242 |
$1K |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$159.37 |