| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,620 |
6,488 |
$293K |
| E0601 |
Cont airway pressure device |
2,879 |
2,445 |
$102K |
| E0466 |
Home vent non-invasive inter |
101 |
93 |
$47K |
| E0431 |
Portable gaseous 02 |
5,172 |
4,346 |
$28K |
| A7030 |
Cpap full face mask |
590 |
478 |
$23K |
| K0003 |
Lightweight wheelchair |
1,314 |
1,155 |
$23K |
| E0470 |
Rad w/o backup non-inv intfc |
197 |
150 |
$14K |
| K0195 |
Elevating whlchair leg rests |
1,053 |
907 |
$13K |
| A7037 |
Pos airway pressure tubing |
1,592 |
1,275 |
$12K |
| E0570 |
Nebulizer with compression |
2,385 |
2,002 |
$12K |
| E0562 |
Humidifier heated used w pap |
109 |
100 |
$10K |
| A7035 |
Pos airway press headgear |
775 |
600 |
$7K |
| A7034 |
Nasal application device |
336 |
231 |
$6K |
| A7038 |
Pos airway pressure filter |
2,262 |
1,594 |
$6K |
| A7031 |
Replacement facemask interfa |
237 |
149 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
79 |
66 |
$2K |
| A7032 |
Replacement nasal cushion |
69 |
38 |
$750.26 |
| A7046 |
Repl water chamber, pap dev |
145 |
107 |
$680.15 |
| A7039 |
Filter, non disposable w pap |
268 |
169 |
$552.02 |
| E0143 |
Walker folding wheeled w/o s |
17 |
12 |
$337.63 |
| A7005 |
Nondisposable nebulizer set |
28 |
25 |
$285.25 |
| A9279 |
Monitoring feature/devicenoc |
416 |
364 |
$266.00 |
| A7003 |
Nebulizer administration set |
18 |
12 |
$0.00 |