| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,073 |
2,645 |
$1.52M |
| E1390 |
Oxygen concentrator |
15,910 |
11,996 |
$563K |
| E0601 |
Cont airway pressure device |
10,717 |
8,180 |
$253K |
| A7030 |
Cpap full face mask |
5,081 |
3,888 |
$218K |
| E0562 |
Humidifier heated used w pap |
8,144 |
6,252 |
$118K |
| A7031 |
Replacement facemask interfa |
4,638 |
3,506 |
$117K |
| A4604 |
Tubing with heating element |
7,551 |
5,868 |
$105K |
| E0470 |
Rad w/o backup non-inv intfc |
1,360 |
1,044 |
$84K |
| E0431 |
Portable gaseous 02 |
10,391 |
7,838 |
$81K |
| A7034 |
Nasal application device |
2,947 |
2,263 |
$73K |
| E0570 |
Nebulizer with compression |
9,104 |
6,876 |
$53K |
| A7035 |
Pos airway press headgear |
5,207 |
4,168 |
$51K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,974 |
1,306 |
$38K |
| A7032 |
Replacement nasal cushion |
1,111 |
834 |
$31K |
| A7038 |
Pos airway pressure filter |
8,034 |
6,348 |
$30K |
| K0001 |
Standard wheelchair |
2,246 |
1,563 |
$23K |
| A7046 |
Repl water chamber, pap dev |
3,764 |
2,917 |
$18K |
| A7033 |
Replacement nasal pillows |
806 |
608 |
$17K |
| E1392 |
Portable oxygen concentrator |
2,951 |
1,941 |
$9K |
| A7005 |
Nondisposable nebulizer set |
672 |
534 |
$7K |
| E0630 |
Patient lift hydraulic |
331 |
173 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
149 |
114 |
$2K |
| K0195 |
Elevating whlchair leg rests |
352 |
262 |
$2K |
| K0738 |
Portable gas oxygen system |
46 |
38 |
$685.47 |
| K0003 |
Lightweight wheelchair |
41 |
25 |
$496.78 |
| A7003 |
Nebulizer administration set |
250 |
191 |
$135.76 |
| A7036 |
Pos airway press chinstrap |
16 |
12 |
$62.47 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$4.74 |