| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,072 |
12,457 |
$686K |
| E0466 |
Home vent non-invasive inter |
805 |
699 |
$274K |
| E0601 |
Cont airway pressure device |
4,258 |
3,735 |
$192K |
| A7030 |
Cpap full face mask |
2,421 |
2,119 |
$129K |
| E0470 |
Rad w/o backup non-inv intfc |
1,110 |
963 |
$99K |
| E0431 |
Portable gaseous 02 |
11,277 |
9,595 |
$71K |
| E0562 |
Humidifier heated used w pap |
644 |
561 |
$49K |
| A7034 |
Nasal application device |
1,156 |
1,016 |
$45K |
| A7037 |
Pos airway pressure tubing |
3,679 |
3,255 |
$43K |
| A7031 |
Replacement facemask interfa |
2,080 |
1,547 |
$35K |
| A7035 |
Pos airway press headgear |
2,267 |
1,989 |
$27K |
| K0003 |
Lightweight wheelchair |
1,296 |
1,064 |
$24K |
| A7032 |
Replacement nasal cushion |
886 |
656 |
$18K |
| A7038 |
Pos airway pressure filter |
4,818 |
3,732 |
$15K |
| E2402 |
Neg press wound therapy pump |
16 |
12 |
$11K |
| A7046 |
Repl water chamber, pap dev |
1,525 |
1,362 |
$10K |
| K0195 |
Elevating whlchair leg rests |
551 |
461 |
$7K |
| E0570 |
Nebulizer with compression |
716 |
650 |
$4K |
| A7039 |
Filter, non disposable w pap |
540 |
474 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
137 |
119 |
$2K |
| E1392 |
Portable oxygen concentrator |
278 |
260 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
71 |
57 |
$2K |
| A9279 |
Monitoring feature/devicenoc |
452 |
404 |
$256.10 |
| A7036 |
Pos airway press chinstrap |
18 |
14 |
$103.36 |