| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,274 |
23,337 |
$1.50M |
| E0466 |
Home vent non-invasive inter |
986 |
863 |
$335K |
| A7030 |
Cpap full face mask |
1,759 |
1,541 |
$98K |
| E0601 |
Cont airway pressure device |
2,609 |
2,233 |
$92K |
| E0431 |
Portable gaseous 02 |
9,654 |
8,648 |
$90K |
| A7037 |
Pos airway pressure tubing |
4,590 |
4,111 |
$73K |
| E0562 |
Humidifier heated used w pap |
1,632 |
1,359 |
$47K |
| A7038 |
Pos airway pressure filter |
6,447 |
5,770 |
$41K |
| A7031 |
Replacement facemask interfa |
1,758 |
1,569 |
$40K |
| A7032 |
Replacement nasal cushion |
926 |
810 |
$33K |
| A7035 |
Pos airway press headgear |
1,849 |
1,635 |
$27K |
| A4604 |
Tubing with heating element |
936 |
852 |
$27K |
| A7034 |
Nasal application device |
496 |
448 |
$19K |
| E1392 |
Portable oxygen concentrator |
1,688 |
1,512 |
$18K |
| E0470 |
Rad w/o backup non-inv intfc |
273 |
228 |
$17K |
| E0570 |
Nebulizer with compression |
1,656 |
1,468 |
$10K |
| A7046 |
Repl water chamber, pap dev |
745 |
679 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
97 |
91 |
$2K |
| A7039 |
Filter, non disposable w pap |
141 |
130 |
$680.81 |
| Q0513 |
Disp fee inhal drugs/30 days |
42 |
37 |
$386.09 |
| K0001 |
Standard wheelchair |
14 |
12 |
$111.39 |
| A7003 |
Nebulizer administration set |
97 |
80 |
$82.42 |
| A7000 |
Disposable canister for pump |
27 |
14 |
$26.59 |
| A7002 |
Tubing used w suction pump |
29 |
12 |
$11.93 |