| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,102 |
18,071 |
$1.07M |
| E0601 |
Cont airway pressure device |
13,115 |
12,719 |
$776K |
| E0470 |
Rad w/o backup non-inv intfc |
3,009 |
2,893 |
$418K |
| E0562 |
Humidifier heated used w pap |
2,080 |
2,002 |
$223K |
| A7030 |
Cpap full face mask |
3,134 |
2,891 |
$176K |
| E0431 |
Portable gaseous 02 |
5,373 |
5,153 |
$151K |
| K0738 |
Portable gas oxygen system |
5,136 |
4,848 |
$132K |
| A4604 |
Tubing with heating element |
4,576 |
4,239 |
$109K |
| E1392 |
Portable oxygen concentrator |
5,410 |
5,042 |
$107K |
| A7034 |
Nasal application device |
2,620 |
2,435 |
$86K |
| A7035 |
Pos airway press headgear |
4,110 |
3,834 |
$80K |
| E0570 |
Nebulizer with compression |
2,675 |
2,519 |
$75K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,585 |
1,521 |
$71K |
| A7031 |
Replacement facemask interfa |
2,227 |
2,008 |
$53K |
| K0001 |
Standard wheelchair |
1,790 |
1,658 |
$48K |
| E0466 |
Home vent non-invasive inter |
78 |
77 |
$47K |
| A7038 |
Pos airway pressure filter |
7,187 |
6,520 |
$17K |
| A7032 |
Replacement nasal cushion |
893 |
807 |
$17K |
| A7037 |
Pos airway pressure tubing |
771 |
715 |
$13K |
| A4239 |
Non-adju cgm supply allow |
220 |
194 |
$12K |
| A7033 |
Replacement nasal pillows |
725 |
672 |
$11K |
| E0471 |
Rad w/backup non inv intrfc |
71 |
66 |
$10K |
| A7005 |
Nondisposable nebulizer set |
494 |
469 |
$7K |
| E0255 |
Hospital bed var ht w/ mattr |
491 |
405 |
$6K |
| T4541 |
Large disposable underpad |
101 |
80 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
67 |
63 |
$3K |
| A7046 |
Repl water chamber, pap dev |
1,540 |
1,377 |
$2K |
| A7039 |
Filter, non disposable w pap |
162 |
150 |
$1K |
| A7003 |
Nebulizer administration set |
961 |
914 |
$1K |
| K0195 |
Elevating whlchair leg rests |
335 |
281 |
$810.68 |
| K0553 |
Ther cgm supply allowance |
13 |
12 |
$504.85 |
| A4927 |
Non-sterile gloves |
15 |
12 |
$216.38 |
| E1356 |
Batt pack/cart, port conc |
1,116 |
1,114 |
$0.00 |