| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,144 |
2,841 |
$772K |
| E1390 |
Oxygen concentrator |
16,333 |
14,701 |
$547K |
| E0431 |
Portable gaseous 02 |
10,122 |
9,019 |
$132K |
| E0601 |
Cont airway pressure device |
859 |
743 |
$19K |
| E0570 |
Nebulizer with compression |
4,048 |
3,710 |
$17K |
| E0562 |
Humidifier heated used w pap |
889 |
775 |
$8K |
| A7038 |
Pos airway pressure filter |
1,747 |
1,367 |
$4K |
| A7031 |
Replacement facemask interfa |
144 |
129 |
$4K |
| E1392 |
Portable oxygen concentrator |
373 |
333 |
$3K |
| A7030 |
Cpap full face mask |
73 |
65 |
$3K |
| A7003 |
Nebulizer administration set |
2,249 |
2,011 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
56 |
51 |
$994.60 |
| K0001 |
Standard wheelchair |
160 |
157 |
$833.63 |
| E0443 |
Portable 02 contents, gas |
57 |
53 |
$784.59 |
| A7005 |
Nondisposable nebulizer set |
140 |
130 |
$740.12 |
| A7035 |
Pos airway press headgear |
43 |
39 |
$345.47 |
| A7034 |
Nasal application device |
12 |
12 |
$231.87 |
| A4604 |
Tubing with heating element |
29 |
26 |
$169.03 |
| A7037 |
Pos airway pressure tubing |
14 |
12 |
$147.14 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$49.98 |
| A7013 |
Disposable compressor filter |
28 |
26 |
$8.38 |
| A7015 |
Aerosol mask used w nebulize |
16 |
14 |
$7.01 |