| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
44,867 |
27,273 |
$1.66M |
| E0466 |
Home vent non-invasive inter |
1,871 |
1,005 |
$401K |
| A7030 |
Cpap full face mask |
2,894 |
2,020 |
$137K |
| E0431 |
Portable gaseous 02 |
21,743 |
13,110 |
$133K |
| E0601 |
Cont airway pressure device |
5,168 |
3,174 |
$119K |
| E1392 |
Portable oxygen concentrator |
6,581 |
4,146 |
$79K |
| A7031 |
Replacement facemask interfa |
2,958 |
2,093 |
$74K |
| A7034 |
Nasal application device |
1,859 |
1,311 |
$50K |
| E0562 |
Humidifier heated used w pap |
5,407 |
3,381 |
$43K |
| E0570 |
Nebulizer with compression |
8,930 |
5,691 |
$40K |
| A7037 |
Pos airway pressure tubing |
4,105 |
2,901 |
$40K |
| A7035 |
Pos airway press headgear |
3,175 |
2,275 |
$34K |
| A7038 |
Pos airway pressure filter |
7,850 |
5,955 |
$26K |
| A7032 |
Replacement nasal cushion |
411 |
280 |
$9K |
| A7033 |
Replacement nasal pillows |
373 |
260 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
173 |
104 |
$3K |
| A7039 |
Filter, non disposable w pap |
331 |
267 |
$2K |
| K0001 |
Standard wheelchair |
332 |
210 |
$2K |
| A7046 |
Repl water chamber, pap dev |
711 |
522 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
31 |
24 |
$1K |
| A7003 |
Nebulizer administration set |
2,814 |
1,976 |
$1K |
| A4604 |
Tubing with heating element |
105 |
77 |
$1K |
| A7005 |
Nondisposable nebulizer set |
66 |
41 |
$268.74 |
| E0443 |
Portable 02 contents, gas |
19 |
15 |
$48.51 |