| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
38,623 |
31,621 |
$728K |
| A7030 |
Cpap full face mask |
3,404 |
2,986 |
$125K |
| A7031 |
Replacement facemask interfa |
5,289 |
4,708 |
$96K |
| E0431 |
Portable gaseous 02 |
14,397 |
11,740 |
$67K |
| E0601 |
Cont airway pressure device |
4,512 |
3,713 |
$63K |
| E0466 |
Home vent non-invasive inter |
246 |
197 |
$55K |
| E1392 |
Portable oxygen concentrator |
5,381 |
4,564 |
$39K |
| A4604 |
Tubing with heating element |
1,535 |
1,379 |
$32K |
| A7034 |
Nasal application device |
1,384 |
1,234 |
$30K |
| A7035 |
Pos airway press headgear |
3,168 |
2,812 |
$27K |
| E0562 |
Humidifier heated used w pap |
5,625 |
4,600 |
$25K |
| A7032 |
Replacement nasal cushion |
1,179 |
1,039 |
$23K |
| A7038 |
Pos airway pressure filter |
9,310 |
8,343 |
$19K |
| A7037 |
Pos airway pressure tubing |
3,551 |
3,135 |
$18K |
| E0570 |
Nebulizer with compression |
5,143 |
4,276 |
$16K |
| A7046 |
Repl water chamber, pap dev |
2,399 |
2,142 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,051 |
887 |
$11K |
| A7033 |
Replacement nasal pillows |
681 |
638 |
$11K |
| K0001 |
Standard wheelchair |
1,365 |
1,174 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
166 |
112 |
$6K |
| E0439 |
Stationary liquid 02 |
185 |
143 |
$1K |
| A7005 |
Nondisposable nebulizer set |
324 |
263 |
$847.65 |
| A7003 |
Nebulizer administration set |
2,105 |
1,680 |
$831.78 |
| E0143 |
Walker folding wheeled w/o s |
32 |
27 |
$649.36 |
| E0434 |
Portable liquid 02 |
285 |
200 |
$609.75 |
| A7013 |
Disposable compressor filter |
29 |
27 |
$9.30 |