| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,428 |
11,964 |
$425K |
| E0466 |
Home vent non-invasive inter |
863 |
704 |
$177K |
| E0601 |
Cont airway pressure device |
5,882 |
4,656 |
$88K |
| A7030 |
Cpap full face mask |
2,969 |
2,322 |
$58K |
| E0470 |
Rad w/o backup non-inv intfc |
1,664 |
1,238 |
$58K |
| E2402 |
Neg press wound therapy pump |
201 |
147 |
$52K |
| A7034 |
Nasal application device |
2,215 |
1,756 |
$38K |
| A7037 |
Pos airway pressure tubing |
5,160 |
3,986 |
$37K |
| E0431 |
Portable gaseous 02 |
7,976 |
6,473 |
$35K |
| A7035 |
Pos airway press headgear |
3,057 |
2,444 |
$29K |
| A7038 |
Pos airway pressure filter |
5,530 |
3,974 |
$24K |
| A7031 |
Replacement facemask interfa |
2,362 |
1,884 |
$16K |
| A7032 |
Replacement nasal cushion |
1,536 |
1,214 |
$13K |
| E0562 |
Humidifier heated used w pap |
357 |
242 |
$13K |
| E1392 |
Portable oxygen concentrator |
1,730 |
1,443 |
$12K |
| E0570 |
Nebulizer with compression |
2,550 |
2,183 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,790 |
1,431 |
$6K |
| E0261 |
Hosp bed semi-electr w/o mat |
192 |
179 |
$4K |
| K0003 |
Lightweight wheelchair |
251 |
231 |
$3K |
| A7039 |
Filter, non disposable w pap |
2,282 |
1,842 |
$3K |
| A7000 |
Disposable canister for pump |
27 |
13 |
$1K |
| E0443 |
Portable 02 contents, gas |
76 |
60 |
$630.79 |
| A6550 |
Neg pres wound ther drsg set |
24 |
13 |
$197.82 |
| A9279 |
Monitoring feature/devicenoc |
406 |
265 |
$48.06 |