| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
36,924 |
27,991 |
$1.21M |
| E0466 |
Home vent non-invasive inter |
3,410 |
2,508 |
$821K |
| A7030 |
Cpap full face mask |
5,208 |
3,902 |
$306K |
| A7031 |
Replacement facemask interfa |
8,405 |
6,710 |
$267K |
| E0601 |
Cont airway pressure device |
7,496 |
5,799 |
$244K |
| E0431 |
Portable gaseous 02 |
20,774 |
15,290 |
$136K |
| E0562 |
Humidifier heated used w pap |
7,112 |
5,701 |
$92K |
| E1392 |
Portable oxygen concentrator |
6,635 |
5,075 |
$74K |
| E0570 |
Nebulizer with compression |
7,665 |
5,424 |
$72K |
| A7034 |
Nasal application device |
2,234 |
1,641 |
$69K |
| E0470 |
Rad w/o backup non-inv intfc |
778 |
621 |
$69K |
| A7032 |
Replacement nasal cushion |
2,121 |
1,608 |
$66K |
| A7037 |
Pos airway pressure tubing |
5,525 |
4,091 |
$53K |
| A7035 |
Pos airway press headgear |
4,455 |
3,346 |
$53K |
| A7038 |
Pos airway pressure filter |
12,778 |
10,042 |
$49K |
| A4604 |
Tubing with heating element |
1,637 |
1,272 |
$45K |
| A7033 |
Replacement nasal pillows |
907 |
727 |
$24K |
| A7046 |
Repl water chamber, pap dev |
3,307 |
2,494 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
683 |
481 |
$8K |
| K0738 |
Portable gas oxygen system |
302 |
259 |
$5K |
| A7005 |
Nondisposable nebulizer set |
673 |
580 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
131 |
106 |
$4K |
| A7003 |
Nebulizer administration set |
3,216 |
2,713 |
$3K |
| E0600 |
Suction pump portab hom modl |
104 |
77 |
$2K |
| E0156 |
Walker seat attachment |
83 |
62 |
$584.87 |
| A7015 |
Aerosol mask used w nebulize |
655 |
565 |
$421.92 |
| A7039 |
Filter, non disposable w pap |
66 |
52 |
$272.06 |
| K0001 |
Standard wheelchair |
377 |
350 |
$196.66 |
| A7013 |
Disposable compressor filter |
669 |
574 |
$185.62 |