| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,032 |
12,135 |
$610K |
| E0466 |
Home vent non-invasive inter |
722 |
652 |
$288K |
| E0445 |
Oximeter non-invasive |
1,067 |
836 |
$106K |
| E0601 |
Cont airway pressure device |
1,792 |
1,748 |
$65K |
| K0738 |
Portable gas oxygen system |
2,683 |
2,503 |
$41K |
| A7030 |
Cpap full face mask |
662 |
624 |
$35K |
| E1392 |
Portable oxygen concentrator |
1,799 |
1,772 |
$29K |
| E0431 |
Portable gaseous 02 |
2,130 |
2,016 |
$26K |
| A7034 |
Nasal application device |
618 |
590 |
$24K |
| E0470 |
Rad w/o backup non-inv intfc |
369 |
360 |
$22K |
| A7031 |
Replacement facemask interfa |
673 |
632 |
$15K |
| E0562 |
Humidifier heated used w pap |
117 |
114 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,228 |
1,169 |
$13K |
| A7035 |
Pos airway press headgear |
1,076 |
1,034 |
$12K |
| A7038 |
Pos airway pressure filter |
1,694 |
1,598 |
$10K |
| E0570 |
Nebulizer with compression |
93 |
92 |
$7K |
| A7032 |
Replacement nasal cushion |
137 |
131 |
$6K |
| A7046 |
Repl water chamber, pap dev |
574 |
555 |
$4K |
| A4604 |
Tubing with heating element |
170 |
168 |
$4K |
| K0001 |
Standard wheelchair |
101 |
99 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
71 |
69 |
$3K |
| A7005 |
Nondisposable nebulizer set |
63 |
63 |
$1K |
| A7003 |
Nebulizer administration set |
107 |
105 |
$100.81 |
| A7013 |
Disposable compressor filter |
57 |
57 |
$26.12 |