| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,596 |
9,611 |
$533K |
| E0601 |
Cont airway pressure device |
7,098 |
5,097 |
$208K |
| E0466 |
Home vent non-invasive inter |
702 |
560 |
$103K |
| E0430 |
Oxygen system gas portable |
714 |
560 |
$27K |
| E0570 |
Nebulizer with compression |
2,206 |
1,860 |
$16K |
| A7038 |
Pos airway pressure filter |
2,214 |
1,910 |
$15K |
| A7031 |
Replacement facemask interfa |
1,103 |
905 |
$14K |
| A7030 |
Cpap full face mask |
909 |
740 |
$11K |
| E1392 |
Portable oxygen concentrator |
2,269 |
1,971 |
$7K |
| A7035 |
Pos airway press headgear |
902 |
767 |
$5K |
| A7037 |
Pos airway pressure tubing |
822 |
695 |
$3K |
| E0431 |
Portable gaseous 02 |
2,089 |
1,836 |
$2K |
| E0562 |
Humidifier heated used w pap |
14 |
13 |
$2K |
| A7034 |
Nasal application device |
273 |
241 |
$2K |
| A7032 |
Replacement nasal cushion |
172 |
158 |
$2K |
| A4604 |
Tubing with heating element |
291 |
237 |
$2K |
| A7046 |
Repl water chamber, pap dev |
218 |
188 |
$1K |
| A7039 |
Filter, non disposable w pap |
566 |
486 |
$1K |
| K0738 |
Portable gas oxygen system |
168 |
165 |
$423.38 |
| K0001 |
Standard wheelchair |
12 |
12 |
$72.08 |