| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,233 |
11,155 |
$467K |
| E0466 |
Home vent non-invasive inter |
427 |
362 |
$175K |
| E0601 |
Cont airway pressure device |
4,842 |
4,143 |
$127K |
| A7031 |
Replacement facemask interfa |
4,714 |
4,004 |
$101K |
| A4604 |
Tubing with heating element |
4,072 |
3,450 |
$81K |
| A7032 |
Replacement nasal cushion |
2,581 |
2,301 |
$71K |
| A7034 |
Nasal application device |
2,047 |
1,779 |
$66K |
| A7030 |
Cpap full face mask |
2,145 |
1,711 |
$59K |
| E0431 |
Portable gaseous 02 |
7,487 |
6,355 |
$56K |
| E0562 |
Humidifier heated used w pap |
2,995 |
2,431 |
$54K |
| A7035 |
Pos airway press headgear |
2,659 |
2,273 |
$26K |
| A7038 |
Pos airway pressure filter |
8,590 |
7,409 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,771 |
1,390 |
$21K |
| A7033 |
Replacement nasal pillows |
1,214 |
1,040 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
366 |
287 |
$17K |
| A7046 |
Repl water chamber, pap dev |
2,129 |
1,788 |
$15K |
| E0570 |
Nebulizer with compression |
878 |
719 |
$13K |
| E0260 |
Hosp bed semi-electr w/ matt |
242 |
214 |
$5K |
| K0001 |
Standard wheelchair |
433 |
354 |
$4K |
| A7037 |
Pos airway pressure tubing |
468 |
394 |
$3K |
| A7039 |
Filter, non disposable w pap |
216 |
180 |
$761.20 |