| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,185 |
4,512 |
$226K |
| E0601 |
Cont airway pressure device |
6,370 |
4,695 |
$157K |
| A7030 |
Cpap full face mask |
3,056 |
2,165 |
$117K |
| A7031 |
Replacement facemask interfa |
3,328 |
2,455 |
$70K |
| E0562 |
Humidifier heated used w pap |
733 |
532 |
$59K |
| A4604 |
Tubing with heating element |
4,381 |
3,136 |
$57K |
| E0466 |
Home vent non-invasive inter |
118 |
102 |
$41K |
| E0431 |
Portable gaseous 02 |
3,865 |
2,830 |
$33K |
| E0470 |
Rad w/o backup non-inv intfc |
689 |
545 |
$32K |
| A7034 |
Nasal application device |
1,413 |
980 |
$30K |
| A7035 |
Pos airway press headgear |
2,929 |
2,129 |
$27K |
| A7038 |
Pos airway pressure filter |
5,499 |
4,044 |
$16K |
| E0260 |
Hosp bed semi-electr w/ matt |
819 |
544 |
$15K |
| A7032 |
Replacement nasal cushion |
791 |
619 |
$14K |
| E0570 |
Nebulizer with compression |
1,966 |
1,262 |
$13K |
| A7046 |
Repl water chamber, pap dev |
2,028 |
1,482 |
$9K |
| K0001 |
Standard wheelchair |
701 |
491 |
$6K |
| K0738 |
Portable gas oxygen system |
335 |
300 |
$4K |
| E1392 |
Portable oxygen concentrator |
430 |
375 |
$3K |
| A7033 |
Replacement nasal pillows |
271 |
218 |
$2K |
| A7037 |
Pos airway pressure tubing |
33 |
26 |
$420.81 |