| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,161 |
22,932 |
$908K |
| E0466 |
Home vent non-invasive inter |
1,900 |
1,755 |
$446K |
| E0431 |
Portable gaseous 02 |
9,597 |
8,995 |
$106K |
| E0601 |
Cont airway pressure device |
2,736 |
2,539 |
$96K |
| E0470 |
Rad w/o backup non-inv intfc |
734 |
695 |
$42K |
| A7030 |
Cpap full face mask |
1,495 |
1,414 |
$41K |
| A7031 |
Replacement facemask interfa |
1,741 |
1,620 |
$34K |
| E0562 |
Humidifier heated used w pap |
1,664 |
1,502 |
$29K |
| A7037 |
Pos airway pressure tubing |
2,296 |
2,148 |
$19K |
| A7035 |
Pos airway press headgear |
1,692 |
1,602 |
$19K |
| E0570 |
Nebulizer with compression |
2,216 |
2,074 |
$13K |
| A7038 |
Pos airway pressure filter |
5,966 |
5,571 |
$13K |
| A7034 |
Nasal application device |
597 |
553 |
$12K |
| E0443 |
Portable 02 contents, gas |
458 |
435 |
$7K |
| A7032 |
Replacement nasal cushion |
209 |
196 |
$3K |
| K0001 |
Standard wheelchair |
120 |
105 |
$2K |
| K0195 |
Elevating whlchair leg rests |
75 |
64 |
$1K |
| A7039 |
Filter, non disposable w pap |
214 |
206 |
$1K |
| A7046 |
Repl water chamber, pap dev |
254 |
237 |
$621.15 |
| A4604 |
Tubing with heating element |
26 |
24 |
$308.03 |
| A7003 |
Nebulizer administration set |
382 |
323 |
$299.91 |
| A7005 |
Nondisposable nebulizer set |
15 |
14 |
$52.99 |