| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,050 |
11,300 |
$709K |
| E0601 |
Cont airway pressure device |
5,392 |
4,708 |
$276K |
| A7030 |
Cpap full face mask |
2,709 |
2,164 |
$199K |
| A7034 |
Nasal application device |
3,195 |
2,553 |
$156K |
| A4604 |
Tubing with heating element |
5,289 |
4,207 |
$143K |
| E0431 |
Portable gaseous 02 |
11,043 |
8,289 |
$93K |
| E0562 |
Humidifier heated used w pap |
5,353 |
4,717 |
$83K |
| A7032 |
Replacement nasal cushion |
2,240 |
1,617 |
$69K |
| A7031 |
Replacement facemask interfa |
2,615 |
1,808 |
$64K |
| A7035 |
Pos airway press headgear |
3,551 |
2,799 |
$56K |
| A7038 |
Pos airway pressure filter |
7,374 |
5,397 |
$37K |
| E0466 |
Home vent non-invasive inter |
255 |
162 |
$32K |
| A7033 |
Replacement nasal pillows |
1,534 |
1,042 |
$32K |
| E0570 |
Nebulizer with compression |
1,784 |
1,398 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,504 |
2,011 |
$20K |
| E1392 |
Portable oxygen concentrator |
752 |
592 |
$10K |
| E0470 |
Rad w/o backup non-inv intfc |
120 |
102 |
$9K |
| K0001 |
Standard wheelchair |
72 |
67 |
$2K |
| K0195 |
Elevating whlchair leg rests |
40 |
36 |
$496.85 |
| A7037 |
Pos airway pressure tubing |
18 |
13 |
$235.74 |
| A9279 |
Monitoring feature/devicenoc |
15 |
12 |
$0.00 |