| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,677 |
17,091 |
$496K |
| E2402 |
Neg press wound therapy pump |
1,468 |
928 |
$406K |
| K0738 |
Portable gas oxygen system |
8,865 |
7,599 |
$116K |
| E0601 |
Cont airway pressure device |
3,844 |
3,367 |
$72K |
| A6550 |
Neg pres wound ther drsg set |
568 |
301 |
$43K |
| A7030 |
Cpap full face mask |
1,295 |
884 |
$42K |
| A7034 |
Nasal application device |
1,810 |
1,251 |
$41K |
| E0431 |
Portable gaseous 02 |
4,264 |
3,713 |
$37K |
| E1392 |
Portable oxygen concentrator |
3,303 |
2,926 |
$25K |
| A7031 |
Replacement facemask interfa |
1,447 |
962 |
$22K |
| A7035 |
Pos airway press headgear |
2,367 |
1,683 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
879 |
710 |
$17K |
| E0260 |
Hosp bed semi-electr w/ matt |
952 |
757 |
$16K |
| E0562 |
Humidifier heated used w pap |
416 |
300 |
$16K |
| K0001 |
Standard wheelchair |
1,762 |
1,503 |
$16K |
| E0570 |
Nebulizer with compression |
1,946 |
1,705 |
$14K |
| A7037 |
Pos airway pressure tubing |
2,672 |
1,819 |
$13K |
| A7000 |
Disposable canister for pump |
761 |
420 |
$13K |
| A7032 |
Replacement nasal cushion |
661 |
477 |
$12K |
| A7038 |
Pos airway pressure filter |
4,450 |
3,171 |
$10K |
| E0466 |
Home vent non-invasive inter |
93 |
89 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,294 |
954 |
$6K |
| A4604 |
Tubing with heating element |
252 |
179 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
77 |
63 |
$3K |
| A7033 |
Replacement nasal pillows |
37 |
27 |
$558.30 |
| A7005 |
Nondisposable nebulizer set |
89 |
75 |
$478.23 |
| A7013 |
Disposable compressor filter |
73 |
62 |
$19.82 |
| A7003 |
Nebulizer administration set |
66 |
51 |
$13.53 |