| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
60,978 |
57,786 |
$3.67M |
| E0466 |
Home vent non-invasive inter |
1,101 |
1,031 |
$656K |
| E0431 |
Portable gaseous 02 |
42,724 |
40,393 |
$546K |
| E0601 |
Cont airway pressure device |
9,032 |
7,767 |
$406K |
| E0562 |
Humidifier heated used w pap |
3,746 |
3,047 |
$331K |
| E0424 |
Stationary compressed gas 02 |
2,997 |
2,824 |
$234K |
| A7030 |
Cpap full face mask |
2,656 |
2,451 |
$204K |
| A7034 |
Nasal application device |
2,270 |
2,072 |
$97K |
| A7037 |
Pos airway pressure tubing |
4,002 |
3,726 |
$64K |
| A7035 |
Pos airway press headgear |
3,552 |
3,271 |
$63K |
| A7031 |
Replacement facemask interfa |
1,579 |
1,443 |
$38K |
| E0470 |
Rad w/o backup non-inv intfc |
287 |
256 |
$33K |
| A4604 |
Tubing with heating element |
1,098 |
988 |
$31K |
| A7038 |
Pos airway pressure filter |
5,677 |
5,181 |
$25K |
| K0738 |
Portable gas oxygen system |
830 |
754 |
$21K |
| A7046 |
Repl water chamber, pap dev |
1,669 |
1,506 |
$14K |
| E1392 |
Portable oxygen concentrator |
881 |
824 |
$14K |
| E0570 |
Nebulizer with compression |
1,414 |
1,288 |
$13K |
| A7032 |
Replacement nasal cushion |
502 |
448 |
$9K |
| A7039 |
Filter, non disposable w pap |
1,075 |
979 |
$5K |
| A7033 |
Replacement nasal pillows |
176 |
152 |
$3K |
| K0003 |
Lightweight wheelchair |
86 |
82 |
$939.10 |
| K0001 |
Standard wheelchair |
74 |
69 |
$738.33 |
| A7036 |
Pos airway press chinstrap |
71 |
67 |
$550.17 |
| E0443 |
Portable 02 contents, gas |
17 |
12 |
$96.64 |
| A9279 |
Monitoring feature/devicenoc |
56 |
45 |
$0.00 |