| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,219 |
22,242 |
$581K |
| A7030 |
Cpap full face mask |
4,524 |
3,652 |
$145K |
| E0601 |
Cont airway pressure device |
7,176 |
6,061 |
$127K |
| E0466 |
Home vent non-invasive inter |
560 |
517 |
$70K |
| A7031 |
Replacement facemask interfa |
4,458 |
3,699 |
$69K |
| K0823 |
Pwc gp 2 std cap chair |
1,173 |
971 |
$53K |
| E0431 |
Portable gaseous 02 |
12,368 |
10,390 |
$49K |
| E0562 |
Humidifier heated used w pap |
3,202 |
2,684 |
$49K |
| A7034 |
Nasal application device |
1,602 |
1,286 |
$35K |
| A7037 |
Pos airway pressure tubing |
5,850 |
4,718 |
$30K |
| E0470 |
Rad w/o backup non-inv intfc |
684 |
594 |
$28K |
| A7035 |
Pos airway press headgear |
3,996 |
3,222 |
$27K |
| A7038 |
Pos airway pressure filter |
8,206 |
6,697 |
$18K |
| E0570 |
Nebulizer with compression |
2,787 |
2,471 |
$13K |
| A7032 |
Replacement nasal cushion |
706 |
563 |
$12K |
| A7046 |
Repl water chamber, pap dev |
2,526 |
2,065 |
$10K |
| E0443 |
Portable 02 contents, gas |
1,041 |
941 |
$9K |
| A7039 |
Filter, non disposable w pap |
3,437 |
2,820 |
$8K |
| K0001 |
Standard wheelchair |
1,329 |
1,128 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
254 |
239 |
$2K |
| A7005 |
Nondisposable nebulizer set |
123 |
110 |
$657.27 |
| A4604 |
Tubing with heating element |
29 |
24 |
$362.43 |
| K0195 |
Elevating whlchair leg rests |
51 |
50 |
$133.23 |
| E0484 |
Non-elec oscillatory pep dvc |
36 |
31 |
$103.22 |
| A7003 |
Nebulizer administration set |
67 |
63 |
$52.29 |
| A7013 |
Disposable compressor filter |
28 |
27 |
$9.59 |