| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
23,835 |
22,822 |
$1.24M |
| E0466 |
Home vent non-invasive inter |
2,260 |
2,206 |
$797K |
| A7030 |
Cpap full face mask |
7,036 |
6,872 |
$418K |
| E0601 |
Cont airway pressure device |
11,335 |
11,038 |
$378K |
| E0431 |
Portable gaseous 02 |
25,800 |
24,528 |
$324K |
| A7034 |
Nasal application device |
6,372 |
6,188 |
$184K |
| A7031 |
Replacement facemask interfa |
7,189 |
6,990 |
$142K |
| E0562 |
Humidifier heated used w pap |
2,241 |
2,191 |
$137K |
| A7035 |
Pos airway press headgear |
10,281 |
10,077 |
$104K |
| A7037 |
Pos airway pressure tubing |
11,029 |
10,822 |
$88K |
| A7033 |
Replacement nasal pillows |
3,588 |
3,491 |
$69K |
| E0470 |
Rad w/o backup non-inv intfc |
964 |
948 |
$59K |
| A7045 |
Repl exhalation port for pap |
10,794 |
10,385 |
$54K |
| A4604 |
Tubing with heating element |
2,142 |
2,093 |
$46K |
| A7032 |
Replacement nasal cushion |
2,811 |
2,727 |
$45K |
| A7038 |
Pos airway pressure filter |
12,916 |
12,663 |
$33K |
| E0570 |
Nebulizer with compression |
1,565 |
1,533 |
$27K |
| E0443 |
Portable 02 contents, gas |
1,435 |
1,020 |
$14K |
| K0003 |
Lightweight wheelchair |
897 |
868 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
409 |
398 |
$11K |
| E0143 |
Walker folding wheeled w/o s |
296 |
285 |
$9K |
| E1392 |
Portable oxygen concentrator |
1,142 |
1,096 |
$8K |
| A7046 |
Repl water chamber, pap dev |
659 |
642 |
$3K |
| E0163 |
Commode chair with fixed arm |
112 |
106 |
$3K |
| E1355 |
Oxygen supplies stand/rack |
116 |
114 |
$1K |
| E1353 |
Oxygen supplies regulator |
113 |
102 |
$657.57 |
| A7003 |
Nebulizer administration set |
294 |
288 |
$463.89 |
| A4615 |
Cannula nasal |
678 |
633 |
$383.84 |
| A7013 |
Disposable compressor filter |
199 |
197 |
$220.40 |
| E1038 |
Transport chair pt wt<=300lb |
12 |
12 |
$77.07 |