| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,190 |
9,102 |
$719K |
| E0601 |
Cont airway pressure device |
3,272 |
2,525 |
$118K |
| E0470 |
Rad w/o backup non-inv intfc |
1,691 |
1,256 |
$117K |
| A7030 |
Cpap full face mask |
1,773 |
1,413 |
$87K |
| E0431 |
Portable gaseous 02 |
6,307 |
4,724 |
$54K |
| A7031 |
Replacement facemask interfa |
1,914 |
1,387 |
$35K |
| A7035 |
Pos airway press headgear |
1,685 |
1,353 |
$22K |
| A7034 |
Nasal application device |
601 |
477 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,180 |
850 |
$22K |
| A4604 |
Tubing with heating element |
1,560 |
1,244 |
$15K |
| A7038 |
Pos airway pressure filter |
3,575 |
2,659 |
$10K |
| K0001 |
Standard wheelchair |
1,381 |
1,029 |
$10K |
| A7037 |
Pos airway pressure tubing |
490 |
368 |
$8K |
| E0562 |
Humidifier heated used w pap |
78 |
69 |
$8K |
| A7032 |
Replacement nasal cushion |
346 |
254 |
$6K |
| E0570 |
Nebulizer with compression |
614 |
458 |
$6K |
| E0466 |
Home vent non-invasive inter |
19 |
12 |
$5K |
| A7046 |
Repl water chamber, pap dev |
779 |
629 |
$3K |
| K0002 |
Stnd hemi (low seat) whlchr |
143 |
105 |
$2K |
| E1392 |
Portable oxygen concentrator |
235 |
183 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
35 |
27 |
$562.82 |
| K0195 |
Elevating whlchair leg rests |
83 |
67 |
$445.12 |
| A7039 |
Filter, non disposable w pap |
16 |
12 |
$76.60 |