| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,279 |
9,201 |
$292K |
| E0601 |
Cont airway pressure device |
4,959 |
2,907 |
$79K |
| E0466 |
Home vent non-invasive inter |
580 |
241 |
$69K |
| A7030 |
Cpap full face mask |
661 |
505 |
$24K |
| K0738 |
Portable gas oxygen system |
4,718 |
2,321 |
$24K |
| E1392 |
Portable oxygen concentrator |
4,640 |
2,306 |
$18K |
| E0562 |
Humidifier heated used w pap |
144 |
121 |
$15K |
| E0431 |
Portable gaseous 02 |
2,063 |
1,104 |
$12K |
| A7037 |
Pos airway pressure tubing |
1,364 |
1,003 |
$7K |
| A7035 |
Pos airway press headgear |
1,024 |
771 |
$7K |
| A7034 |
Nasal application device |
212 |
157 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
457 |
230 |
$4K |
| A7031 |
Replacement facemask interfa |
364 |
282 |
$4K |
| A7038 |
Pos airway pressure filter |
1,973 |
1,386 |
$3K |
| K0001 |
Standard wheelchair |
332 |
190 |
$1K |
| A7046 |
Repl water chamber, pap dev |
187 |
147 |
$784.43 |
| A7032 |
Replacement nasal cushion |
65 |
42 |
$776.28 |
| E0570 |
Nebulizer with compression |
54 |
36 |
$383.51 |
| A4604 |
Tubing with heating element |
20 |
12 |
$200.76 |