| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,209 |
15,881 |
$1.00M |
| E0466 |
Home vent non-invasive inter |
900 |
796 |
$320K |
| E0431 |
Portable gaseous 02 |
8,425 |
7,346 |
$82K |
| A7030 |
Cpap full face mask |
1,464 |
1,313 |
$81K |
| A7037 |
Pos airway pressure tubing |
4,338 |
3,892 |
$67K |
| E0601 |
Cont airway pressure device |
1,390 |
1,215 |
$49K |
| A7038 |
Pos airway pressure filter |
5,314 |
4,779 |
$36K |
| A7031 |
Replacement facemask interfa |
1,459 |
1,335 |
$35K |
| E0562 |
Humidifier heated used w pap |
820 |
723 |
$29K |
| A7035 |
Pos airway press headgear |
1,648 |
1,474 |
$25K |
| A7034 |
Nasal application device |
570 |
503 |
$24K |
| E0470 |
Rad w/o backup non-inv intfc |
258 |
217 |
$21K |
| A7032 |
Replacement nasal cushion |
418 |
356 |
$17K |
| E0570 |
Nebulizer with compression |
1,906 |
1,642 |
$12K |
| A4604 |
Tubing with heating element |
250 |
232 |
$9K |
| K0001 |
Standard wheelchair |
573 |
519 |
$6K |
| A7046 |
Repl water chamber, pap dev |
653 |
600 |
$5K |
| A7033 |
Replacement nasal pillows |
89 |
84 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
27 |
24 |
$459.29 |
| A7039 |
Filter, non disposable w pap |
108 |
94 |
$446.43 |
| E1392 |
Portable oxygen concentrator |
42 |
38 |
$253.87 |
| E0443 |
Portable 02 contents, gas |
25 |
25 |
$224.53 |
| A7003 |
Nebulizer administration set |
36 |
26 |
$24.84 |