| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
29,175 |
25,754 |
$731K |
| E0431 |
Portable gaseous 02 |
9,812 |
8,660 |
$55K |
| A7031 |
Replacement facemask interfa |
1,366 |
1,226 |
$24K |
| E1392 |
Portable oxygen concentrator |
1,646 |
1,500 |
$18K |
| E0466 |
Home vent non-invasive inter |
292 |
257 |
$17K |
| A7030 |
Cpap full face mask |
462 |
406 |
$15K |
| E0570 |
Nebulizer with compression |
3,074 |
2,731 |
$10K |
| E0601 |
Cont airway pressure device |
413 |
359 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,162 |
1,060 |
$5K |
| A7038 |
Pos airway pressure filter |
2,392 |
2,182 |
$5K |
| E0562 |
Humidifier heated used w pap |
624 |
553 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
170 |
163 |
$2K |
| A7035 |
Pos airway press headgear |
276 |
237 |
$2K |
| A7003 |
Nebulizer administration set |
1,726 |
1,545 |
$676.31 |
| K0001 |
Standard wheelchair |
131 |
120 |
$517.17 |
| A7046 |
Repl water chamber, pap dev |
83 |
75 |
$348.83 |
| A7005 |
Nondisposable nebulizer set |
163 |
145 |
$253.88 |
| Q0513 |
Disp fee inhal drugs/30 days |
13 |
12 |
$95.13 |