| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
17,366 |
16,617 |
$976K |
| E0466 |
Home vent non-invasive inter |
2,240 |
2,200 |
$616K |
| E0601 |
Cont airway pressure device |
4,691 |
4,527 |
$171K |
| A7030 |
Cpap full face mask |
2,406 |
2,321 |
$141K |
| E0431 |
Portable gaseous 02 |
9,511 |
9,058 |
$112K |
| E0562 |
Humidifier heated used w pap |
3,670 |
3,514 |
$61K |
| A7031 |
Replacement facemask interfa |
2,138 |
2,065 |
$56K |
| A7034 |
Nasal application device |
1,315 |
1,252 |
$50K |
| A7032 |
Replacement nasal cushion |
1,027 |
987 |
$43K |
| A7035 |
Pos airway press headgear |
2,634 |
2,495 |
$40K |
| A7037 |
Pos airway pressure tubing |
3,386 |
3,244 |
$40K |
| A7038 |
Pos airway pressure filter |
7,294 |
6,864 |
$37K |
| K0001 |
Standard wheelchair |
2,002 |
1,945 |
$36K |
| E0570 |
Nebulizer with compression |
5,826 |
5,699 |
$30K |
| E0260 |
Hosp bed semi-electr w/ matt |
919 |
897 |
$27K |
| A7046 |
Repl water chamber, pap dev |
2,475 |
2,337 |
$22K |
| E1392 |
Portable oxygen concentrator |
2,314 |
2,240 |
$19K |
| E0443 |
Portable 02 contents, gas |
722 |
693 |
$12K |
| A7033 |
Replacement nasal pillows |
304 |
286 |
$9K |
| A4604 |
Tubing with heating element |
188 |
182 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
51 |
48 |
$4K |
| A7003 |
Nebulizer administration set |
3,143 |
2,924 |
$3K |
| K0738 |
Portable gas oxygen system |
12 |
12 |
$299.20 |
| A7039 |
Filter, non disposable w pap |
52 |
52 |
$245.09 |
| A7013 |
Disposable compressor filter |
158 |
152 |
$65.10 |
| A7015 |
Aerosol mask used w nebulize |
33 |
33 |
$15.98 |