| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,501 |
8,727 |
$363K |
| E0466 |
Home vent non-invasive inter |
842 |
418 |
$135K |
| E0601 |
Cont airway pressure device |
5,562 |
3,275 |
$92K |
| A7030 |
Cpap full face mask |
1,157 |
807 |
$40K |
| K0738 |
Portable gas oxygen system |
6,079 |
2,800 |
$34K |
| E0431 |
Portable gaseous 02 |
3,035 |
1,675 |
$21K |
| A7034 |
Nasal application device |
664 |
470 |
$14K |
| A7035 |
Pos airway press headgear |
1,784 |
1,225 |
$13K |
| E0470 |
Rad w/o backup non-inv intfc |
306 |
178 |
$11K |
| E1392 |
Portable oxygen concentrator |
2,351 |
1,225 |
$11K |
| A7037 |
Pos airway pressure tubing |
1,475 |
1,008 |
$10K |
| A7031 |
Replacement facemask interfa |
856 |
632 |
$10K |
| E0445 |
Oximeter non-invasive |
157 |
106 |
$9K |
| E0562 |
Humidifier heated used w pap |
138 |
113 |
$9K |
| A4604 |
Tubing with heating element |
430 |
333 |
$6K |
| A7038 |
Pos airway pressure filter |
3,121 |
2,085 |
$6K |
| E0570 |
Nebulizer with compression |
781 |
451 |
$5K |
| A7032 |
Replacement nasal cushion |
246 |
179 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
156 |
81 |
$4K |
| K0001 |
Standard wheelchair |
422 |
208 |
$3K |
| A7046 |
Repl water chamber, pap dev |
390 |
297 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
82 |
37 |
$1K |
| E0600 |
Suction pump portab hom modl |
25 |
12 |
$214.87 |