| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
54,593 |
40,568 |
$1.82M |
| E0466 |
Home vent non-invasive inter |
1,858 |
1,338 |
$404K |
| A7030 |
Cpap full face mask |
7,705 |
5,654 |
$403K |
| A7031 |
Replacement facemask interfa |
12,570 |
9,754 |
$356K |
| E0601 |
Cont airway pressure device |
10,605 |
8,224 |
$333K |
| E0431 |
Portable gaseous 02 |
32,701 |
24,257 |
$231K |
| E0562 |
Humidifier heated used w pap |
10,447 |
8,076 |
$115K |
| E0570 |
Nebulizer with compression |
10,671 |
7,592 |
$81K |
| A7034 |
Nasal application device |
2,568 |
1,883 |
$70K |
| E1392 |
Portable oxygen concentrator |
7,480 |
5,408 |
$69K |
| A7037 |
Pos airway pressure tubing |
8,202 |
6,003 |
$67K |
| A7035 |
Pos airway press headgear |
6,105 |
4,491 |
$65K |
| A7032 |
Replacement nasal cushion |
2,139 |
1,707 |
$62K |
| A7038 |
Pos airway pressure filter |
17,460 |
13,561 |
$59K |
| A4604 |
Tubing with heating element |
1,653 |
1,321 |
$44K |
| A7046 |
Repl water chamber, pap dev |
4,824 |
3,440 |
$30K |
| E0470 |
Rad w/o backup non-inv intfc |
655 |
420 |
$30K |
| A7033 |
Replacement nasal pillows |
1,086 |
850 |
$24K |
| E0260 |
Hosp bed semi-electr w/ matt |
901 |
660 |
$19K |
| A7005 |
Nondisposable nebulizer set |
2,038 |
1,740 |
$13K |
| E0143 |
Walker folding wheeled w/o s |
403 |
324 |
$10K |
| E0443 |
Portable 02 contents, gas |
762 |
554 |
$3K |
| A7003 |
Nebulizer administration set |
2,527 |
2,174 |
$2K |
| K0001 |
Standard wheelchair |
684 |
593 |
$1K |
| A7039 |
Filter, non disposable w pap |
237 |
174 |
$782.49 |
| E0156 |
Walker seat attachment |
52 |
40 |
$288.57 |
| A7015 |
Aerosol mask used w nebulize |
25 |
24 |
$16.63 |