| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
77,740 |
68,040 |
$3.70M |
| E0466 |
Home vent non-invasive inter |
3,748 |
3,196 |
$1.54M |
| K0738 |
Portable gas oxygen system |
25,879 |
23,126 |
$572K |
| E0424 |
Stationary compressed gas 02 |
6,844 |
6,206 |
$425K |
| E0431 |
Portable gaseous 02 |
22,779 |
20,631 |
$297K |
| E0601 |
Cont airway pressure device |
7,673 |
6,453 |
$216K |
| E0562 |
Humidifier heated used w pap |
2,443 |
1,261 |
$195K |
| A7030 |
Cpap full face mask |
4,117 |
2,271 |
$126K |
| A7034 |
Nasal application device |
4,939 |
2,579 |
$87K |
| E1392 |
Portable oxygen concentrator |
4,861 |
4,347 |
$55K |
| A7037 |
Pos airway pressure tubing |
5,787 |
3,524 |
$49K |
| A7035 |
Pos airway press headgear |
6,747 |
3,540 |
$41K |
| A7031 |
Replacement facemask interfa |
2,898 |
1,667 |
$41K |
| E0434 |
Portable liquid 02 |
2,637 |
2,232 |
$40K |
| E0600 |
Suction pump portab hom modl |
945 |
885 |
$39K |
| A4604 |
Tubing with heating element |
2,618 |
1,408 |
$32K |
| A7032 |
Replacement nasal cushion |
2,480 |
1,236 |
$29K |
| E0439 |
Stationary liquid 02 |
905 |
711 |
$26K |
| E0445 |
Oximeter non-invasive |
1,104 |
433 |
$25K |
| A7046 |
Repl water chamber, pap dev |
4,516 |
2,503 |
$20K |
| E0570 |
Nebulizer with compression |
2,031 |
1,532 |
$19K |
| A7038 |
Pos airway pressure filter |
9,061 |
4,940 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
284 |
208 |
$12K |
| K0001 |
Standard wheelchair |
1,995 |
1,499 |
$12K |
| A7033 |
Replacement nasal pillows |
1,158 |
563 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
891 |
616 |
$11K |
| E0441 |
Stationary o2 contents, gas |
190 |
103 |
$3K |
| A7005 |
Nondisposable nebulizer set |
298 |
137 |
$2K |
| E0471 |
Rad w/backup non inv intrfc |
25 |
24 |
$2K |
| E0114 |
Crutch underarm pair no wood |
20 |
12 |
$539.08 |
| E0143 |
Walker folding wheeled w/o s |
24 |
12 |
$292.90 |
| A7036 |
Pos airway press chinstrap |
43 |
14 |
$104.66 |