| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,727 |
11,436 |
$441K |
| E0601 |
Cont airway pressure device |
9,687 |
8,491 |
$267K |
| A7031 |
Replacement facemask interfa |
5,930 |
4,989 |
$118K |
| E0562 |
Humidifier heated used w pap |
5,424 |
4,713 |
$113K |
| A7034 |
Nasal application device |
3,438 |
2,926 |
$108K |
| A7030 |
Cpap full face mask |
3,204 |
2,652 |
$103K |
| A7032 |
Replacement nasal cushion |
3,539 |
3,033 |
$85K |
| A4604 |
Tubing with heating element |
3,864 |
3,309 |
$82K |
| E0431 |
Portable gaseous 02 |
8,284 |
6,995 |
$63K |
| E0470 |
Rad w/o backup non-inv intfc |
778 |
677 |
$48K |
| A7035 |
Pos airway press headgear |
4,359 |
3,730 |
$44K |
| E0466 |
Home vent non-invasive inter |
103 |
77 |
$43K |
| A7033 |
Replacement nasal pillows |
1,894 |
1,667 |
$32K |
| A7038 |
Pos airway pressure filter |
11,838 |
10,090 |
$30K |
| A7037 |
Pos airway pressure tubing |
3,540 |
2,968 |
$23K |
| E0570 |
Nebulizer with compression |
1,701 |
1,390 |
$22K |
| A7046 |
Repl water chamber, pap dev |
2,497 |
2,169 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
841 |
652 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,185 |
922 |
$14K |
| K0738 |
Portable gas oxygen system |
944 |
717 |
$12K |
| K0001 |
Standard wheelchair |
835 |
697 |
$8K |
| A7039 |
Filter, non disposable w pap |
438 |
377 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
53 |
45 |
$1K |