| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,571 |
1,350 |
$765K |
| E1390 |
Oxygen concentrator |
9,136 |
7,508 |
$459K |
| E0601 |
Cont airway pressure device |
6,423 |
5,968 |
$310K |
| E0431 |
Portable gaseous 02 |
4,621 |
4,029 |
$93K |
| E0562 |
Humidifier heated used w pap |
2,502 |
2,401 |
$39K |
| K0001 |
Standard wheelchair |
1,327 |
1,165 |
$29K |
| E1392 |
Portable oxygen concentrator |
1,445 |
1,266 |
$24K |
| A7030 |
Cpap full face mask |
370 |
321 |
$21K |
| E0445 |
Oximeter non-invasive |
116 |
116 |
$15K |
| A7037 |
Pos airway pressure tubing |
980 |
830 |
$11K |
| A7034 |
Nasal application device |
303 |
254 |
$8K |
| A7035 |
Pos airway press headgear |
745 |
634 |
$7K |
| A7038 |
Pos airway pressure filter |
1,101 |
939 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
175 |
164 |
$7K |
| E0570 |
Nebulizer with compression |
224 |
208 |
$6K |
| A7031 |
Replacement facemask interfa |
168 |
138 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$2K |
| A7046 |
Repl water chamber, pap dev |
201 |
177 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
59 |
38 |
$1K |
| E0156 |
Walker seat attachment |
30 |
28 |
$118.41 |
| A7003 |
Nebulizer administration set |
27 |
26 |
$36.02 |
| A7013 |
Disposable compressor filter |
13 |
12 |
$2.58 |