| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
35,679 |
28,220 |
$1.45M |
| E0466 |
Home vent non-invasive inter |
5,639 |
3,705 |
$1.34M |
| E0471 |
Rad w/backup non inv intrfc |
1,127 |
1,028 |
$317K |
| E0431 |
Portable gaseous 02 |
22,242 |
17,750 |
$185K |
| E0601 |
Cont airway pressure device |
3,002 |
2,619 |
$156K |
| A7030 |
Cpap full face mask |
1,972 |
1,717 |
$119K |
| E0562 |
Humidifier heated used w pap |
2,418 |
1,953 |
$106K |
| A4604 |
Tubing with heating element |
3,678 |
3,119 |
$90K |
| A7034 |
Nasal application device |
2,322 |
1,919 |
$81K |
| A7031 |
Replacement facemask interfa |
2,562 |
2,293 |
$67K |
| A7035 |
Pos airway press headgear |
3,407 |
3,024 |
$55K |
| A7038 |
Pos airway pressure filter |
10,681 |
9,887 |
$54K |
| A7032 |
Replacement nasal cushion |
1,981 |
1,649 |
$39K |
| E0483 |
Hi freq chest wall oscil sys |
154 |
106 |
$36K |
| E0570 |
Nebulizer with compression |
6,308 |
4,265 |
$34K |
| E0470 |
Rad w/o backup non-inv intfc |
242 |
213 |
$32K |
| E1392 |
Portable oxygen concentrator |
2,888 |
2,137 |
$32K |
| A7046 |
Repl water chamber, pap dev |
2,544 |
2,252 |
$21K |
| A7039 |
Filter, non disposable w pap |
2,119 |
1,890 |
$13K |
| K0001 |
Standard wheelchair |
777 |
611 |
$12K |
| A7037 |
Pos airway pressure tubing |
456 |
397 |
$6K |
| A7033 |
Replacement nasal pillows |
260 |
226 |
$4K |
| A7005 |
Nondisposable nebulizer set |
479 |
348 |
$4K |
| A7003 |
Nebulizer administration set |
2,773 |
2,052 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
54 |
41 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
97 |
91 |
$2K |
| E0443 |
Portable 02 contents, gas |
293 |
188 |
$1K |
| J7613 |
Albuterol non-comp unit |
74 |
64 |
$783.00 |
| A7013 |
Disposable compressor filter |
120 |
101 |
$39.67 |