| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,838 |
24,225 |
$1.07M |
| E0466 |
Home vent non-invasive inter |
1,805 |
1,746 |
$820K |
| E0601 |
Cont airway pressure device |
5,689 |
5,387 |
$217K |
| E0431 |
Portable gaseous 02 |
11,263 |
10,522 |
$155K |
| A7030 |
Cpap full face mask |
2,345 |
2,212 |
$88K |
| E0562 |
Humidifier heated used w pap |
2,751 |
2,537 |
$74K |
| E0483 |
Hi freq chest wall oscil sys |
185 |
131 |
$70K |
| A7031 |
Replacement facemask interfa |
2,454 |
2,318 |
$57K |
| E0470 |
Rad w/o backup non-inv intfc |
502 |
468 |
$46K |
| A7035 |
Pos airway press headgear |
2,510 |
2,373 |
$33K |
| A7037 |
Pos airway pressure tubing |
3,081 |
2,834 |
$28K |
| E0570 |
Nebulizer with compression |
2,662 |
2,449 |
$28K |
| E1392 |
Portable oxygen concentrator |
2,534 |
2,400 |
$26K |
| A7038 |
Pos airway pressure filter |
9,351 |
8,770 |
$21K |
| A7034 |
Nasal application device |
896 |
840 |
$20K |
| K0001 |
Standard wheelchair |
522 |
509 |
$11K |
| A4604 |
Tubing with heating element |
582 |
522 |
$9K |
| A7032 |
Replacement nasal cushion |
473 |
436 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
222 |
200 |
$7K |
| E0443 |
Portable 02 contents, gas |
271 |
253 |
$4K |
| A7003 |
Nebulizer administration set |
2,025 |
1,804 |
$2K |
| A7046 |
Repl water chamber, pap dev |
600 |
546 |
$1K |
| A7005 |
Nondisposable nebulizer set |
115 |
108 |
$853.11 |
| A7039 |
Filter, non disposable w pap |
14 |
13 |
$81.10 |
| A7015 |
Aerosol mask used w nebulize |
17 |
16 |
$13.95 |