| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,909 |
7,691 |
$356K |
| E0601 |
Cont airway pressure device |
3,015 |
2,704 |
$114K |
| A7031 |
Replacement facemask interfa |
4,398 |
3,872 |
$112K |
| A7030 |
Cpap full face mask |
1,907 |
1,642 |
$72K |
| E0470 |
Rad w/o backup non-inv intfc |
804 |
721 |
$69K |
| K0738 |
Portable gas oxygen system |
2,833 |
2,370 |
$51K |
| A7034 |
Nasal application device |
1,441 |
1,303 |
$48K |
| E0562 |
Humidifier heated used w pap |
1,805 |
1,538 |
$45K |
| A7032 |
Replacement nasal cushion |
1,518 |
1,364 |
$41K |
| E0431 |
Portable gaseous 02 |
3,904 |
3,429 |
$36K |
| A4604 |
Tubing with heating element |
1,530 |
1,355 |
$33K |
| A7035 |
Pos airway press headgear |
2,268 |
2,035 |
$26K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,020 |
886 |
$24K |
| A7038 |
Pos airway pressure filter |
7,042 |
6,195 |
$22K |
| A7037 |
Pos airway pressure tubing |
2,215 |
1,973 |
$19K |
| K0001 |
Standard wheelchair |
1,792 |
1,476 |
$16K |
| A7046 |
Repl water chamber, pap dev |
2,120 |
1,883 |
$16K |
| A7033 |
Replacement nasal pillows |
556 |
481 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,301 |
1,158 |
$5K |
| E0570 |
Nebulizer with compression |
499 |
411 |
$4K |
| E0603 |
Electric breast pump |
15 |
15 |
$3K |
| E1392 |
Portable oxygen concentrator |
135 |
91 |
$882.15 |
| K0195 |
Elevating whlchair leg rests |
29 |
24 |
$85.18 |