| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,029 |
1,660 |
$975K |
| E1390 |
Oxygen concentrator |
13,579 |
11,487 |
$532K |
| E0601 |
Cont airway pressure device |
10,385 |
9,158 |
$346K |
| A7031 |
Replacement facemask interfa |
8,247 |
7,114 |
$194K |
| A7030 |
Cpap full face mask |
3,676 |
3,060 |
$138K |
| E0562 |
Humidifier heated used w pap |
4,786 |
4,057 |
$133K |
| A7034 |
Nasal application device |
3,485 |
3,101 |
$125K |
| A4604 |
Tubing with heating element |
4,821 |
4,191 |
$109K |
| A7032 |
Replacement nasal cushion |
3,552 |
3,200 |
$100K |
| E0470 |
Rad w/o backup non-inv intfc |
1,289 |
1,057 |
$90K |
| A7035 |
Pos airway press headgear |
4,899 |
4,260 |
$56K |
| E0431 |
Portable gaseous 02 |
6,407 |
5,286 |
$53K |
| A7033 |
Replacement nasal pillows |
2,541 |
2,289 |
$43K |
| A7038 |
Pos airway pressure filter |
14,542 |
12,779 |
$42K |
| A7046 |
Repl water chamber, pap dev |
3,484 |
3,015 |
$29K |
| A7037 |
Pos airway pressure tubing |
3,361 |
2,877 |
$27K |
| E0570 |
Nebulizer with compression |
1,580 |
1,304 |
$26K |
| E0260 |
Hosp bed semi-electr w/ matt |
704 |
587 |
$17K |
| K0001 |
Standard wheelchair |
1,112 |
968 |
$14K |
| E1392 |
Portable oxygen concentrator |
757 |
606 |
$11K |
| K0738 |
Portable gas oxygen system |
606 |
485 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
175 |
150 |
$5K |
| A7039 |
Filter, non disposable w pap |
743 |
612 |
$3K |
| K0003 |
Lightweight wheelchair |
57 |
50 |
$1K |
| A7005 |
Nondisposable nebulizer set |
129 |
116 |
$929.98 |
| A7036 |
Pos airway press chinstrap |
101 |
97 |
$779.55 |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$371.55 |
| A7013 |
Disposable compressor filter |
39 |
37 |
$14.41 |