| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
35,800 |
31,772 |
$2.22M |
| E0466 |
Home vent non-invasive inter |
1,850 |
1,581 |
$883K |
| E0431 |
Portable gaseous 02 |
16,787 |
14,809 |
$218K |
| A7030 |
Cpap full face mask |
1,720 |
1,524 |
$104K |
| A7037 |
Pos airway pressure tubing |
4,483 |
4,012 |
$90K |
| E0601 |
Cont airway pressure device |
1,880 |
1,705 |
$64K |
| A7038 |
Pos airway pressure filter |
5,978 |
5,345 |
$62K |
| A7031 |
Replacement facemask interfa |
1,777 |
1,583 |
$51K |
| A7035 |
Pos airway press headgear |
1,987 |
1,784 |
$43K |
| E1392 |
Portable oxygen concentrator |
2,652 |
2,257 |
$39K |
| E0570 |
Nebulizer with compression |
3,945 |
3,595 |
$35K |
| A7034 |
Nasal application device |
686 |
636 |
$31K |
| E0562 |
Humidifier heated used w pap |
981 |
889 |
$30K |
| A7032 |
Replacement nasal cushion |
743 |
689 |
$29K |
| E0470 |
Rad w/o backup non-inv intfc |
184 |
165 |
$18K |
| A4604 |
Tubing with heating element |
533 |
504 |
$13K |
| A7046 |
Repl water chamber, pap dev |
787 |
724 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
300 |
283 |
$10K |
| K0001 |
Standard wheelchair |
188 |
164 |
$6K |
| K0738 |
Portable gas oxygen system |
138 |
127 |
$5K |
| A7039 |
Filter, non disposable w pap |
90 |
86 |
$4K |
| A7033 |
Replacement nasal pillows |
69 |
62 |
$2K |
| E0443 |
Portable 02 contents, gas |
200 |
191 |
$2K |
| A7003 |
Nebulizer administration set |
1,467 |
1,337 |
$2K |
| A7005 |
Nondisposable nebulizer set |
31 |
28 |
$153.71 |