| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
23,872 |
20,075 |
$462K |
| A7030 |
Cpap full face mask |
2,044 |
1,776 |
$73K |
| E0601 |
Cont airway pressure device |
3,581 |
3,042 |
$60K |
| E0431 |
Portable gaseous 02 |
13,252 |
11,313 |
$57K |
| E0466 |
Home vent non-invasive inter |
509 |
408 |
$40K |
| E0562 |
Humidifier heated used w pap |
4,466 |
3,807 |
$24K |
| A7031 |
Replacement facemask interfa |
1,709 |
1,494 |
$24K |
| E0570 |
Nebulizer with compression |
6,479 |
5,612 |
$23K |
| E1392 |
Portable oxygen concentrator |
2,461 |
2,019 |
$17K |
| A7037 |
Pos airway pressure tubing |
2,766 |
2,409 |
$13K |
| A7035 |
Pos airway press headgear |
1,926 |
1,665 |
$13K |
| A7034 |
Nasal application device |
906 |
769 |
$12K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,165 |
951 |
$11K |
| A7038 |
Pos airway pressure filter |
4,089 |
3,530 |
$8K |
| K0001 |
Standard wheelchair |
945 |
761 |
$4K |
| A7032 |
Replacement nasal cushion |
381 |
333 |
$4K |
| A7046 |
Repl water chamber, pap dev |
894 |
786 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
95 |
76 |
$3K |
| A4604 |
Tubing with heating element |
117 |
93 |
$2K |
| A7039 |
Filter, non disposable w pap |
608 |
551 |
$1K |
| A7005 |
Nondisposable nebulizer set |
264 |
241 |
$1K |
| K0003 |
Lightweight wheelchair |
115 |
107 |
$951.36 |
| E0143 |
Walker folding wheeled w/o s |
14 |
12 |
$151.48 |
| A9279 |
Monitoring feature/devicenoc |
226 |
164 |
$128.00 |
| A7013 |
Disposable compressor filter |
334 |
306 |
$87.38 |