| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,724 |
9,581 |
$481K |
| E0601 |
Cont airway pressure device |
2,351 |
2,036 |
$91K |
| A7030 |
Cpap full face mask |
1,317 |
1,112 |
$79K |
| A7031 |
Replacement facemask interfa |
2,473 |
2,190 |
$74K |
| A4604 |
Tubing with heating element |
2,064 |
1,768 |
$50K |
| E0431 |
Portable gaseous 02 |
6,877 |
5,041 |
$38K |
| A7032 |
Replacement nasal cushion |
1,168 |
981 |
$37K |
| E0466 |
Home vent non-invasive inter |
233 |
163 |
$37K |
| A7034 |
Nasal application device |
755 |
631 |
$29K |
| E0570 |
Nebulizer with compression |
4,304 |
3,568 |
$27K |
| E0562 |
Humidifier heated used w pap |
2,314 |
2,055 |
$26K |
| A7038 |
Pos airway pressure filter |
4,683 |
4,119 |
$21K |
| A7035 |
Pos airway press headgear |
1,454 |
1,221 |
$19K |
| E1392 |
Portable oxygen concentrator |
1,079 |
708 |
$8K |
| A7046 |
Repl water chamber, pap dev |
896 |
766 |
$6K |
| E0443 |
Portable 02 contents, gas |
791 |
480 |
$3K |
| A7037 |
Pos airway pressure tubing |
113 |
89 |
$1K |
| A7003 |
Nebulizer administration set |
955 |
681 |
$1K |
| K0001 |
Standard wheelchair |
61 |
50 |
$794.74 |
| E0260 |
Hosp bed semi-electr w/ matt |
15 |
12 |
$548.79 |
| A7039 |
Filter, non disposable w pap |
78 |
69 |
$520.95 |
| A7013 |
Disposable compressor filter |
29 |
25 |
$15.25 |