| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
28,534 |
21,110 |
$1.46M |
| E0466 |
Home vent non-invasive inter |
2,885 |
2,158 |
$1.09M |
| E0431 |
Portable gaseous 02 |
18,947 |
13,981 |
$195K |
| E1392 |
Portable oxygen concentrator |
5,887 |
4,444 |
$121K |
| E0601 |
Cont airway pressure device |
2,096 |
1,623 |
$76K |
| E0570 |
Nebulizer with compression |
4,290 |
2,682 |
$71K |
| E0562 |
Humidifier heated used w pap |
2,092 |
1,669 |
$25K |
| E0260 |
Hosp bed semi-electr w/ matt |
169 |
148 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
94 |
74 |
$3K |
| A7030 |
Cpap full face mask |
49 |
40 |
$3K |
| A7003 |
Nebulizer administration set |
1,247 |
971 |
$2K |
| A7035 |
Pos airway press headgear |
133 |
107 |
$2K |
| E0600 |
Suction pump portab hom modl |
34 |
24 |
$666.07 |
| A7015 |
Aerosol mask used w nebulize |
929 |
730 |
$653.73 |
| A7037 |
Pos airway pressure tubing |
32 |
28 |
$444.36 |
| A7038 |
Pos airway pressure filter |
227 |
176 |
$434.08 |
| A4604 |
Tubing with heating element |
18 |
14 |
$247.85 |
| A7046 |
Repl water chamber, pap dev |
31 |
29 |
$169.56 |