| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
238,543 |
221,981 |
$14.36M |
| S8121 |
O2 contents liquid lb |
205,074 |
62,529 |
$9.48M |
| S8120 |
O2 contents gas cubic ft |
69,145 |
32,103 |
$6.29M |
| E0439 |
Stationary liquid 02 |
63,602 |
59,291 |
$3.81M |
| E0434 |
Portable liquid 02 |
81,911 |
75,545 |
$2.28M |
| E0431 |
Portable gaseous 02 |
165,350 |
155,922 |
$2.15M |
| E0466 |
Home vent non-invasive inter |
1,030 |
971 |
$995K |
| E0465 |
Home vent invasive interface |
814 |
736 |
$717K |
| E0445 |
Oximeter non-invasive |
4,237 |
3,875 |
$666K |
| E2402 |
Neg press wound therapy pump |
583 |
461 |
$368K |
| E0470 |
Rad w/o backup non-inv intfc |
3,081 |
2,873 |
$310K |
| E0601 |
Cont airway pressure device |
7,690 |
6,782 |
$309K |
| A4606 |
Oxygen probe used w oximeter |
2,537 |
1,748 |
$302K |
| A7030 |
Cpap full face mask |
2,786 |
2,533 |
$283K |
| E0471 |
Rad w/backup non inv intrfc |
846 |
792 |
$273K |
| E0562 |
Humidifier heated used w pap |
10,430 |
9,554 |
$216K |
| A7035 |
Pos airway press headgear |
3,988 |
3,583 |
$81K |
| E1392 |
Portable oxygen concentrator |
1,890 |
1,767 |
$80K |
| E1399 |
Durable medical equipment mi |
6,874 |
5,997 |
$79K |
| E0550 |
Humidif extens supple w ippb |
1,633 |
1,437 |
$71K |
| A6550 |
Neg pres wound ther drsg set |
179 |
157 |
$68K |
| A7031 |
Replacement facemask interfa |
1,308 |
1,197 |
$48K |
| A4604 |
Tubing with heating element |
945 |
868 |
$31K |
| A7034 |
Nasal application device |
511 |
478 |
$30K |
| A7037 |
Pos airway pressure tubing |
1,344 |
1,259 |
$25K |
| K0738 |
Portable gas oxygen system |
1,136 |
1,107 |
$25K |
| A7038 |
Pos airway pressure filter |
6,007 |
5,331 |
$21K |
| A9999 |
Dme supply or accessory, nos |
2,888 |
2,023 |
$21K |
| A7521 |
Trach/laryn tube cuffed |
275 |
201 |
$20K |
| E0570 |
Nebulizer with compression |
2,421 |
2,255 |
$16K |
| E0442 |
Stationary o2 contents, liq |
2,028 |
738 |
$16K |
| E0443 |
Portable 02 contents, gas |
736 |
653 |
$15K |
| A7526 |
Tracheostomy tube collar |
159 |
136 |
$8K |
| A4623 |
Tracheostomy inner cannula |
37 |
27 |
$8K |
| A4605 |
Trach suction cath close sys |
15 |
14 |
$8K |
| A7046 |
Repl water chamber, pap dev |
562 |
529 |
$6K |
| A4618 |
Breathing circuits |
378 |
293 |
$6K |
| A7032 |
Replacement nasal cushion |
140 |
120 |
$3K |
| A7003 |
Nebulizer administration set |
669 |
594 |
$2K |
| A7525 |
Tracheostomy mask |
57 |
56 |
$222.14 |
| A4620 |
Variable concentration mask |
211 |
165 |
$134.84 |
| E0444 |
Portable 02 contents, liquid |
25 |
25 |
$115.79 |