| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
34,278 |
26,329 |
$879K |
| E0466 |
Home vent non-invasive inter |
1,336 |
918 |
$395K |
| A7030 |
Cpap full face mask |
3,297 |
2,965 |
$169K |
| A7031 |
Replacement facemask interfa |
4,429 |
3,988 |
$98K |
| E0601 |
Cont airway pressure device |
4,347 |
3,336 |
$92K |
| E0431 |
Portable gaseous 02 |
16,159 |
12,748 |
$91K |
| A4604 |
Tubing with heating element |
2,787 |
2,609 |
$81K |
| B4035 |
Enteral feed supp pump per d |
710 |
454 |
$62K |
| E0470 |
Rad w/o backup non-inv intfc |
1,022 |
714 |
$39K |
| A7035 |
Pos airway press headgear |
3,218 |
2,921 |
$37K |
| E0562 |
Humidifier heated used w pap |
6,183 |
4,742 |
$35K |
| E1392 |
Portable oxygen concentrator |
3,717 |
3,014 |
$35K |
| E0570 |
Nebulizer with compression |
3,773 |
2,940 |
$32K |
| A7034 |
Nasal application device |
671 |
610 |
$20K |
| A7046 |
Repl water chamber, pap dev |
2,263 |
2,061 |
$18K |
| A7037 |
Pos airway pressure tubing |
2,706 |
2,404 |
$18K |
| A7038 |
Pos airway pressure filter |
9,569 |
8,236 |
$18K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,024 |
832 |
$16K |
| K0001 |
Standard wheelchair |
1,387 |
1,182 |
$10K |
| A7032 |
Replacement nasal cushion |
465 |
419 |
$8K |
| B9998 |
Enteral supp not otherwise c |
39 |
26 |
$3K |
| E0443 |
Portable 02 contents, gas |
360 |
253 |
$2K |
| A7003 |
Nebulizer administration set |
2,076 |
1,673 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
13 |
12 |
$354.97 |
| A7039 |
Filter, non disposable w pap |
97 |
88 |
$325.65 |
| A7033 |
Replacement nasal pillows |
15 |
13 |
$124.88 |
| A7005 |
Nondisposable nebulizer set |
14 |
12 |
$48.42 |