| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,288 |
21,000 |
$625K |
| A7030 |
Cpap full face mask |
4,904 |
4,626 |
$185K |
| A7031 |
Replacement facemask interfa |
7,824 |
7,339 |
$175K |
| E0431 |
Portable gaseous 02 |
13,969 |
13,102 |
$95K |
| A4604 |
Tubing with heating element |
4,086 |
3,865 |
$62K |
| A7032 |
Replacement nasal cushion |
2,459 |
2,329 |
$57K |
| A7034 |
Nasal application device |
2,708 |
2,547 |
$53K |
| E0601 |
Cont airway pressure device |
3,087 |
2,850 |
$51K |
| E0466 |
Home vent non-invasive inter |
111 |
100 |
$40K |
| A7035 |
Pos airway press headgear |
4,417 |
4,178 |
$37K |
| A7038 |
Pos airway pressure filter |
12,154 |
11,406 |
$31K |
| E0570 |
Nebulizer with compression |
5,354 |
4,970 |
$27K |
| A7033 |
Replacement nasal pillows |
1,295 |
1,198 |
$23K |
| E0562 |
Humidifier heated used w pap |
2,837 |
2,634 |
$20K |
| A7037 |
Pos airway pressure tubing |
3,607 |
3,415 |
$19K |
| A7046 |
Repl water chamber, pap dev |
3,828 |
3,602 |
$19K |
| E1392 |
Portable oxygen concentrator |
1,118 |
990 |
$13K |
| A7039 |
Filter, non disposable w pap |
1,627 |
1,555 |
$5K |
| A7003 |
Nebulizer administration set |
1,464 |
1,339 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$318.67 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$90.00 |
| A7013 |
Disposable compressor filter |
102 |
89 |
$26.86 |
| A7015 |
Aerosol mask used w nebulize |
34 |
26 |
$18.84 |