| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,172 |
15,760 |
$761K |
| E0601 |
Cont airway pressure device |
6,597 |
5,472 |
$286K |
| A7031 |
Replacement facemask interfa |
6,488 |
5,608 |
$173K |
| A7030 |
Cpap full face mask |
3,095 |
2,671 |
$163K |
| E0466 |
Home vent non-invasive inter |
775 |
677 |
$150K |
| A4604 |
Tubing with heating element |
4,713 |
4,183 |
$119K |
| E0431 |
Portable gaseous 02 |
12,593 |
10,129 |
$109K |
| A7034 |
Nasal application device |
2,151 |
1,899 |
$90K |
| A7032 |
Replacement nasal cushion |
2,210 |
1,873 |
$89K |
| E0570 |
Nebulizer with compression |
5,601 |
4,207 |
$67K |
| E0562 |
Humidifier heated used w pap |
7,241 |
5,994 |
$63K |
| A7035 |
Pos airway press headgear |
4,046 |
3,581 |
$51K |
| A7038 |
Pos airway pressure filter |
12,023 |
10,106 |
$40K |
| A7033 |
Replacement nasal pillows |
1,253 |
1,079 |
$33K |
| E0143 |
Walker folding wheeled w/o s |
832 |
736 |
$32K |
| A7037 |
Pos airway pressure tubing |
1,780 |
1,563 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,987 |
2,705 |
$22K |
| E1392 |
Portable oxygen concentrator |
3,519 |
2,926 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
424 |
340 |
$21K |
| K0001 |
Standard wheelchair |
1,234 |
864 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
583 |
405 |
$14K |
| A7005 |
Nondisposable nebulizer set |
433 |
381 |
$3K |
| A7039 |
Filter, non disposable w pap |
219 |
186 |
$755.58 |
| A7003 |
Nebulizer administration set |
499 |
430 |
$293.01 |
| A7015 |
Aerosol mask used w nebulize |
283 |
251 |
$173.58 |
| A7013 |
Disposable compressor filter |
247 |
214 |
$54.28 |