| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
44,025 |
38,899 |
$1.54M |
| E0466 |
Home vent non-invasive inter |
1,962 |
1,699 |
$809K |
| E0431 |
Portable gaseous 02 |
22,169 |
19,935 |
$280K |
| E0601 |
Cont airway pressure device |
4,998 |
4,535 |
$165K |
| A7030 |
Cpap full face mask |
2,500 |
2,188 |
$89K |
| E0562 |
Humidifier heated used w pap |
3,213 |
2,748 |
$64K |
| E0570 |
Nebulizer with compression |
4,165 |
3,563 |
$51K |
| A7031 |
Replacement facemask interfa |
3,077 |
2,652 |
$48K |
| E1392 |
Portable oxygen concentrator |
3,979 |
3,491 |
$43K |
| A7035 |
Pos airway press headgear |
2,906 |
2,595 |
$34K |
| A7034 |
Nasal application device |
1,739 |
1,549 |
$34K |
| E0470 |
Rad w/o backup non-inv intfc |
441 |
390 |
$31K |
| A7037 |
Pos airway pressure tubing |
3,611 |
3,198 |
$30K |
| E0439 |
Stationary liquid 02 |
650 |
554 |
$22K |
| A7038 |
Pos airway pressure filter |
9,620 |
8,692 |
$19K |
| A7032 |
Replacement nasal cushion |
1,027 |
904 |
$14K |
| A7033 |
Replacement nasal pillows |
872 |
779 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
294 |
253 |
$7K |
| E0434 |
Portable liquid 02 |
470 |
406 |
$6K |
| K0001 |
Standard wheelchair |
317 |
273 |
$5K |
| A4604 |
Tubing with heating element |
189 |
167 |
$4K |
| A7003 |
Nebulizer administration set |
1,393 |
1,213 |
$1K |
| K0195 |
Elevating whlchair leg rests |
110 |
88 |
$1K |
| A7046 |
Repl water chamber, pap dev |
851 |
716 |
$1K |
| A7005 |
Nondisposable nebulizer set |
130 |
116 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
47 |
40 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
16 |
14 |
$15.52 |