| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,351 |
14,055 |
$845K |
| E0466 |
Home vent non-invasive inter |
2,055 |
1,110 |
$292K |
| E0431 |
Portable gaseous 02 |
11,522 |
7,432 |
$75K |
| A7031 |
Replacement facemask interfa |
882 |
671 |
$29K |
| E1392 |
Portable oxygen concentrator |
2,429 |
1,556 |
$29K |
| E0601 |
Cont airway pressure device |
986 |
698 |
$28K |
| A7030 |
Cpap full face mask |
438 |
308 |
$25K |
| E0570 |
Nebulizer with compression |
4,315 |
2,957 |
$24K |
| E0562 |
Humidifier heated used w pap |
1,611 |
1,108 |
$12K |
| A7038 |
Pos airway pressure filter |
2,708 |
2,083 |
$11K |
| A7037 |
Pos airway pressure tubing |
639 |
465 |
$9K |
| A7035 |
Pos airway press headgear |
415 |
301 |
$6K |
| A7034 |
Nasal application device |
108 |
81 |
$5K |
| E0445 |
Oximeter non-invasive |
29 |
24 |
$4K |
| A7032 |
Replacement nasal cushion |
73 |
58 |
$4K |
| A7005 |
Nondisposable nebulizer set |
361 |
255 |
$2K |
| A7033 |
Replacement nasal pillows |
34 |
24 |
$702.67 |
| A7003 |
Nebulizer administration set |
1,197 |
893 |
$470.63 |
| E0260 |
Hosp bed semi-electr w/ matt |
21 |
12 |
$179.75 |
| K0001 |
Standard wheelchair |
61 |
37 |
$178.84 |
| E0971 |
Wheelchair anti-tipping devi |
164 |
105 |
$56.71 |
| A7046 |
Repl water chamber, pap dev |
17 |
12 |
$12.41 |