| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,672 |
1,190 |
$870K |
| E1390 |
Oxygen concentrator |
15,397 |
11,119 |
$572K |
| E0601 |
Cont airway pressure device |
8,165 |
6,090 |
$279K |
| E0562 |
Humidifier heated used w pap |
1,886 |
1,338 |
$99K |
| A7030 |
Cpap full face mask |
2,585 |
1,812 |
$88K |
| E2402 |
Neg press wound therapy pump |
162 |
120 |
$56K |
| E0431 |
Portable gaseous 02 |
8,187 |
6,070 |
$53K |
| E0470 |
Rad w/o backup non-inv intfc |
454 |
318 |
$29K |
| A7035 |
Pos airway press headgear |
2,665 |
1,926 |
$23K |
| A7034 |
Nasal application device |
923 |
693 |
$22K |
| A7031 |
Replacement facemask interfa |
1,787 |
1,258 |
$19K |
| A7037 |
Pos airway pressure tubing |
2,098 |
1,474 |
$18K |
| E1392 |
Portable oxygen concentrator |
867 |
694 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
432 |
324 |
$10K |
| A4604 |
Tubing with heating element |
1,297 |
987 |
$10K |
| A7038 |
Pos airway pressure filter |
4,454 |
3,206 |
$9K |
| E0570 |
Nebulizer with compression |
635 |
469 |
$7K |
| K0003 |
Lightweight wheelchair |
187 |
151 |
$3K |
| A7046 |
Repl water chamber, pap dev |
736 |
576 |
$2K |
| A7032 |
Replacement nasal cushion |
169 |
135 |
$2K |
| A6550 |
Neg pres wound ther drsg set |
15 |
12 |
$1K |
| A9279 |
Monitoring feature/devicenoc |
1,239 |
868 |
$968.96 |
| K0001 |
Standard wheelchair |
73 |
54 |
$885.93 |
| E0630 |
Patient lift hydraulic |
40 |
25 |
$497.37 |
| A7000 |
Disposable canister for pump |
16 |
13 |
$443.65 |
| K0195 |
Elevating whlchair leg rests |
111 |
87 |
$322.58 |
| E0163 |
Commode chair with fixed arm |
20 |
14 |
$256.78 |
| A7033 |
Replacement nasal pillows |
30 |
27 |
$209.84 |
| A7039 |
Filter, non disposable w pap |
20 |
13 |
$33.90 |