| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,014 |
9,067 |
$373K |
| E0431 |
Portable gaseous 02 |
5,732 |
5,214 |
$86K |
| E0601 |
Cont airway pressure device |
5,536 |
5,080 |
$82K |
| E0466 |
Home vent non-invasive inter |
215 |
202 |
$66K |
| E0562 |
Humidifier heated used w pap |
353 |
291 |
$23K |
| E1392 |
Portable oxygen concentrator |
1,433 |
1,296 |
$14K |
| K0738 |
Portable gas oxygen system |
448 |
425 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
328 |
246 |
$9K |
| K0001 |
Standard wheelchair |
414 |
400 |
$9K |
| A7030 |
Cpap full face mask |
616 |
527 |
$9K |
| A7035 |
Pos airway press headgear |
1,266 |
1,097 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,166 |
1,015 |
$7K |
| A7034 |
Nasal application device |
444 |
372 |
$4K |
| A7038 |
Pos airway pressure filter |
1,566 |
1,324 |
$4K |
| E0570 |
Nebulizer with compression |
284 |
270 |
$3K |
| A4604 |
Tubing with heating element |
133 |
111 |
$2K |
| E0445 |
Oximeter non-invasive |
41 |
37 |
$1K |
| A7031 |
Replacement facemask interfa |
241 |
205 |
$1K |
| A7046 |
Repl water chamber, pap dev |
174 |
153 |
$620.83 |
| A7032 |
Replacement nasal cushion |
27 |
25 |
$303.25 |
| A7039 |
Filter, non disposable w pap |
14 |
12 |
$37.51 |