| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
29,447 |
27,277 |
$1.15M |
| E0431 |
Portable gaseous 02 |
11,152 |
10,232 |
$284K |
| E0466 |
Home vent non-invasive inter |
1,165 |
1,112 |
$202K |
| A7030 |
Cpap full face mask |
1,816 |
1,677 |
$84K |
| E0601 |
Cont airway pressure device |
2,791 |
2,516 |
$62K |
| A7031 |
Replacement facemask interfa |
2,059 |
1,865 |
$56K |
| A7038 |
Pos airway pressure filter |
4,726 |
4,307 |
$22K |
| A7037 |
Pos airway pressure tubing |
2,094 |
1,925 |
$19K |
| E0562 |
Humidifier heated used w pap |
1,326 |
1,209 |
$18K |
| A7035 |
Pos airway press headgear |
1,567 |
1,434 |
$17K |
| E0570 |
Nebulizer with compression |
3,147 |
2,882 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
369 |
306 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,014 |
935 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
155 |
135 |
$6K |
| E0443 |
Portable 02 contents, gas |
247 |
245 |
$3K |
| K0001 |
Standard wheelchair |
359 |
265 |
$2K |
| A4604 |
Tubing with heating element |
204 |
179 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
233 |
213 |
$2K |
| A7003 |
Nebulizer administration set |
1,737 |
1,545 |
$2K |
| A7034 |
Nasal application device |
39 |
37 |
$1K |
| A7039 |
Filter, non disposable w pap |
81 |
79 |
$602.07 |
| A7032 |
Replacement nasal cushion |
27 |
24 |
$341.39 |
| J7620 |
Albuterol ipratrop non-comp |
105 |
94 |
$309.53 |
| J7613 |
Albuterol non-comp unit |
69 |
61 |
$150.05 |
| A7005 |
Nondisposable nebulizer set |
30 |
28 |
$120.06 |
| E1392 |
Portable oxygen concentrator |
33 |
29 |
$107.78 |
| A7015 |
Aerosol mask used w nebulize |
14 |
12 |
$4.67 |