| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,706 |
10,845 |
$413K |
| E0466 |
Home vent non-invasive inter |
792 |
728 |
$240K |
| A7031 |
Replacement facemask interfa |
1,570 |
1,500 |
$41K |
| E0601 |
Cont airway pressure device |
1,239 |
1,195 |
$39K |
| E0431 |
Portable gaseous 02 |
4,932 |
4,561 |
$34K |
| A7030 |
Cpap full face mask |
537 |
508 |
$33K |
| E0562 |
Humidifier heated used w pap |
1,553 |
1,486 |
$16K |
| E0570 |
Nebulizer with compression |
1,874 |
1,742 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,026 |
981 |
$10K |
| A7038 |
Pos airway pressure filter |
2,561 |
2,457 |
$8K |
| K0001 |
Standard wheelchair |
772 |
709 |
$4K |
| A7035 |
Pos airway press headgear |
296 |
279 |
$4K |
| A7046 |
Repl water chamber, pap dev |
56 |
52 |
$458.82 |
| A7032 |
Replacement nasal cushion |
13 |
12 |
$414.16 |
| A7003 |
Nebulizer administration set |
380 |
338 |
$195.04 |