| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,166 |
19,517 |
$816K |
| E0466 |
Home vent non-invasive inter |
811 |
780 |
$314K |
| E0431 |
Portable gaseous 02 |
12,772 |
11,926 |
$158K |
| E0601 |
Cont airway pressure device |
2,220 |
2,152 |
$85K |
| A7030 |
Cpap full face mask |
1,129 |
1,060 |
$39K |
| E0570 |
Nebulizer with compression |
3,590 |
3,274 |
$33K |
| A7031 |
Replacement facemask interfa |
1,091 |
1,024 |
$24K |
| K0001 |
Standard wheelchair |
1,178 |
1,092 |
$21K |
| E0562 |
Humidifier heated used w pap |
640 |
605 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
678 |
630 |
$17K |
| A7035 |
Pos airway press headgear |
1,243 |
1,174 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,498 |
1,407 |
$12K |
| A7038 |
Pos airway pressure filter |
5,161 |
4,886 |
$12K |
| A7034 |
Nasal application device |
295 |
280 |
$7K |
| E1392 |
Portable oxygen concentrator |
572 |
552 |
$6K |
| E0443 |
Portable 02 contents, gas |
397 |
378 |
$5K |
| A7032 |
Replacement nasal cushion |
96 |
93 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
42 |
40 |
$1K |
| A7005 |
Nondisposable nebulizer set |
132 |
129 |
$1K |
| A7003 |
Nebulizer administration set |
1,065 |
971 |
$1K |
| A7033 |
Replacement nasal pillows |
41 |
38 |
$831.72 |
| A7046 |
Repl water chamber, pap dev |
172 |
167 |
$391.48 |
| A4604 |
Tubing with heating element |
25 |
24 |
$176.73 |
| A7015 |
Aerosol mask used w nebulize |
45 |
43 |
$35.66 |