| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
28,015 |
26,946 |
$777K |
| E0466 |
Home vent non-invasive inter |
2,680 |
2,646 |
$297K |
| A7030 |
Cpap full face mask |
2,491 |
2,384 |
$76K |
| E0431 |
Portable gaseous 02 |
13,789 |
13,340 |
$75K |
| A7031 |
Replacement facemask interfa |
2,902 |
2,771 |
$74K |
| E0601 |
Cont airway pressure device |
2,502 |
2,397 |
$39K |
| A7032 |
Replacement nasal cushion |
1,000 |
957 |
$31K |
| A7034 |
Nasal application device |
1,565 |
1,503 |
$28K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,120 |
1,072 |
$28K |
| E0562 |
Humidifier heated used w pap |
3,126 |
2,992 |
$19K |
| E1392 |
Portable oxygen concentrator |
4,927 |
4,667 |
$17K |
| E0570 |
Nebulizer with compression |
5,477 |
5,162 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
515 |
491 |
$15K |
| A7038 |
Pos airway pressure filter |
5,023 |
4,798 |
$15K |
| A4604 |
Tubing with heating element |
1,757 |
1,742 |
$14K |
| A7037 |
Pos airway pressure tubing |
2,317 |
2,227 |
$12K |
| A7033 |
Replacement nasal pillows |
470 |
453 |
$12K |
| A7035 |
Pos airway press headgear |
2,274 |
2,174 |
$12K |
| K0001 |
Standard wheelchair |
1,119 |
1,043 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,867 |
1,774 |
$6K |
| E0443 |
Portable 02 contents, gas |
783 |
684 |
$2K |
| A7003 |
Nebulizer administration set |
1,585 |
1,501 |
$2K |
| A7039 |
Filter, non disposable w pap |
313 |
297 |
$611.76 |
| A7005 |
Nondisposable nebulizer set |
121 |
119 |
$442.42 |