| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,121 |
828 |
$511K |
| E1390 |
Oxygen concentrator |
7,416 |
5,502 |
$428K |
| E0601 |
Cont airway pressure device |
2,871 |
2,206 |
$103K |
| K0738 |
Portable gas oxygen system |
2,556 |
1,939 |
$46K |
| A7030 |
Cpap full face mask |
999 |
841 |
$44K |
| A7031 |
Replacement facemask interfa |
1,442 |
1,073 |
$28K |
| E0445 |
Oximeter non-invasive |
209 |
183 |
$28K |
| E0619 |
Apnea monitor w recorder |
139 |
120 |
$24K |
| E0431 |
Portable gaseous 02 |
2,385 |
1,780 |
$23K |
| E0570 |
Nebulizer with compression |
1,443 |
1,066 |
$20K |
| E0260 |
Hosp bed semi-electr w/ matt |
378 |
303 |
$12K |
| A7038 |
Pos airway pressure filter |
2,749 |
2,097 |
$10K |
| A7035 |
Pos airway press headgear |
804 |
670 |
$10K |
| K0001 |
Standard wheelchair |
738 |
532 |
$7K |
| A4604 |
Tubing with heating element |
631 |
554 |
$7K |
| A7037 |
Pos airway pressure tubing |
277 |
212 |
$4K |
| E0562 |
Humidifier heated used w pap |
53 |
45 |
$4K |
| E1392 |
Portable oxygen concentrator |
248 |
205 |
$3K |
| A7046 |
Repl water chamber, pap dev |
302 |
252 |
$1K |
| A7034 |
Nasal application device |
40 |
37 |
$1K |
| A4554 |
Disposable underpads |
19 |
16 |
$844.09 |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$459.85 |
| A7032 |
Replacement nasal cushion |
20 |
14 |
$303.87 |