| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,786 |
21,793 |
$890K |
| E0466 |
Home vent non-invasive inter |
1,740 |
1,417 |
$579K |
| E0424 |
Stationary compressed gas 02 |
2,341 |
2,202 |
$187K |
| E0431 |
Portable gaseous 02 |
12,758 |
11,332 |
$144K |
| K0738 |
Portable gas oxygen system |
4,489 |
3,840 |
$66K |
| E0601 |
Cont airway pressure device |
2,325 |
1,891 |
$53K |
| A7030 |
Cpap full face mask |
2,003 |
1,119 |
$46K |
| A4604 |
Tubing with heating element |
2,721 |
1,497 |
$26K |
| A7034 |
Nasal application device |
1,617 |
860 |
$23K |
| A7031 |
Replacement facemask interfa |
1,593 |
884 |
$20K |
| E1392 |
Portable oxygen concentrator |
1,664 |
1,559 |
$16K |
| K0001 |
Standard wheelchair |
1,260 |
916 |
$14K |
| A7035 |
Pos airway press headgear |
2,752 |
1,557 |
$13K |
| A7038 |
Pos airway pressure filter |
4,472 |
2,500 |
$6K |
| E0562 |
Humidifier heated used w pap |
58 |
42 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,734 |
948 |
$5K |
| E0434 |
Portable liquid 02 |
329 |
264 |
$4K |
| A7032 |
Replacement nasal cushion |
267 |
133 |
$3K |
| A7037 |
Pos airway pressure tubing |
493 |
328 |
$3K |
| E0441 |
Stationary o2 contents, gas |
104 |
39 |
$1K |
| E0471 |
Rad w/backup non inv intrfc |
23 |
12 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
14 |
13 |
$344.51 |
| E0570 |
Nebulizer with compression |
14 |
12 |
$77.80 |