| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
33,444 |
25,653 |
$1.28M |
| E0466 |
Home vent non-invasive inter |
3,434 |
2,667 |
$893K |
| A7030 |
Cpap full face mask |
4,639 |
3,817 |
$321K |
| A7031 |
Replacement facemask interfa |
8,112 |
6,936 |
$284K |
| E0601 |
Cont airway pressure device |
7,588 |
6,260 |
$279K |
| E0431 |
Portable gaseous 02 |
16,958 |
12,872 |
$134K |
| E0562 |
Humidifier heated used w pap |
8,478 |
6,985 |
$116K |
| E0570 |
Nebulizer with compression |
8,497 |
6,163 |
$88K |
| E0470 |
Rad w/o backup non-inv intfc |
856 |
687 |
$74K |
| A7034 |
Nasal application device |
1,810 |
1,488 |
$73K |
| A7035 |
Pos airway press headgear |
4,004 |
3,264 |
$56K |
| A7037 |
Pos airway pressure tubing |
4,650 |
3,799 |
$55K |
| A7032 |
Replacement nasal cushion |
1,644 |
1,415 |
$53K |
| A4604 |
Tubing with heating element |
1,714 |
1,463 |
$52K |
| A7038 |
Pos airway pressure filter |
12,401 |
10,538 |
$49K |
| A7033 |
Replacement nasal pillows |
1,193 |
1,041 |
$36K |
| E1392 |
Portable oxygen concentrator |
3,335 |
2,402 |
$35K |
| A7046 |
Repl water chamber, pap dev |
2,935 |
2,433 |
$25K |
| K0738 |
Portable gas oxygen system |
838 |
607 |
$13K |
| E0260 |
Hosp bed semi-electr w/ matt |
664 |
413 |
$9K |
| A7005 |
Nondisposable nebulizer set |
486 |
410 |
$4K |
| A7003 |
Nebulizer administration set |
3,442 |
2,836 |
$3K |
| E0439 |
Stationary liquid 02 |
59 |
37 |
$2K |
| E0434 |
Portable liquid 02 |
193 |
137 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,190 |
992 |
$758.72 |
| A7013 |
Disposable compressor filter |
841 |
694 |
$434.16 |
| E0443 |
Portable 02 contents, gas |
59 |
51 |
$167.15 |
| A7000 |
Disposable canister for pump |
18 |
14 |
$146.54 |
| A7002 |
Tubing used w suction pump |
14 |
12 |
$54.66 |
| K0001 |
Standard wheelchair |
90 |
74 |
$0.00 |