| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,968 |
9,316 |
$611K |
| E0466 |
Home vent non-invasive inter |
625 |
601 |
$369K |
| E0601 |
Cont airway pressure device |
1,689 |
1,594 |
$118K |
| E0431 |
Portable gaseous 02 |
4,566 |
4,334 |
$70K |
| E0562 |
Humidifier heated used w pap |
1,578 |
1,454 |
$49K |
| E0570 |
Nebulizer with compression |
1,164 |
1,117 |
$19K |
| A7034 |
Nasal application device |
352 |
315 |
$15K |
| A7030 |
Cpap full face mask |
197 |
181 |
$14K |
| A7035 |
Pos airway press headgear |
544 |
493 |
$9K |
| A7037 |
Pos airway pressure tubing |
578 |
534 |
$8K |
| A7038 |
Pos airway pressure filter |
866 |
762 |
$4K |
| A7031 |
Replacement facemask interfa |
98 |
96 |
$3K |
| A7046 |
Repl water chamber, pap dev |
218 |
209 |
$3K |
| A4604 |
Tubing with heating element |
96 |
92 |
$3K |
| K0001 |
Standard wheelchair |
65 |
51 |
$1K |
| E1392 |
Portable oxygen concentrator |
24 |
24 |
$773.96 |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$364.65 |
| A7005 |
Nondisposable nebulizer set |
16 |
15 |
$234.45 |
| A7039 |
Filter, non disposable w pap |
29 |
25 |
$179.41 |
| A7003 |
Nebulizer administration set |
17 |
14 |
$43.78 |